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South Dakota rates for HCPCS 37211

Thrombolysis Arterial Infusion Icra Rs&I Init Tx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.56 / $392.56 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.50 / $363.31 / $399.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.76 / $805.59 / $1,006.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.04 / $612.63 / $1,075.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.28 / $750.46 / $2,759.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.29 / $916.33 / $5,980.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.32 / $823.86 / $1,143.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.80 / $642.29 / $732.29
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
$475.49 / $817.83 / $1,048.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.30 / $888.60 / $924.20