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South Dakota rates for HCPCS 36465

Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.32 / $1,514.00 / $1,514.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.92 / $1,325.92 / $2,089.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.87 / $313.58 / $3,611.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.13 / $1,181.99 / $3,416.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.33 / $4,126.02 / $9,379.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.92 / $1,716.91 / $3,657.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.64 / $2,358.21 / $3,657.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.73 / $1,338.21 / $2,366.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.77 / $2,671.73 / $4,310.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.20 / $289.00 / $2,986.40