go back

South Dakota rates for HCPCS 37183

Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.58 / $4,338.00 / $6,819.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.66 / $1,082.67 / $15,096.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.51 / $8,718.99 / $16,460.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.88 / $7,682.67 / $10,589.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00