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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
$120.23 / $1,513.56 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $1,230.27 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $2,089.30 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,737.80 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $3,467.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $1,348.96 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $323.59 / $4,168.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $3,019.95