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South Dakota rates for HCPCS 37193

Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.81 / $1,715.13 / $1,715.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.95 / $1,514.99 / $2,465.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.81 / $1,022.17 / $4,182.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.57 / $1,385.33 / $4,120.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.27 / $4,303.03 / $10,827.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.29 / $2,780.21 / $4,157.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.98 / $2,717.51 / $4,157.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.60 / $2,064.23 / $2,768.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.92 / $2,890.10 / $4,495.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.60 / $827.80 / $3,494.20