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South Dakota rates for HCPCS 36483

Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $144.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $190.55 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $338.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $389.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $338.84