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South Dakota rates for HCPCS 37195

Thrombolysis, cerebral, by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $891.25 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,148.15 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $645.65 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,659.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $724.44 / $1,023.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $691.83