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South Dakota rates for HCPCS 36861

External cannula declotting (separate procedure); with balloon catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.04 / $140.04 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $140.04 / $200.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $286.70 / $358.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.17 / $236.67 / $348.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.79 / $268.70 / $1,698.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.00 / $360.62 / $6,566.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.00 / $298.39 / $374.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.86 / $225.46 / $265.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.79 / $255.90 / $369.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.60 / $321.80 / $334.70