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South Dakota rates for HCPCS 37221

Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,073.80 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $7,413.10 / $22,908.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $9,549.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $4,786.30 / $7,762.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,318.26 / $10,715.19