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South Dakota rates for HCPCS 36221

Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.17 / $1,124.88 / $1,124.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.46 / $998.79 / $1,124.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.76 / $1,076.90 / $2,733.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.01 / $1,305.65 / $2,316.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.51 / $2,243.92 / $7,128.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.76 / $1,786.76 / $3,181.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.21 / $1,786.76 / $2,628.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.79 / $1,355.26 / $1,817.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.13 / $1,546.74 / $2,983.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.70 / $479.20 / $2,294.10