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South Dakota rates for HCPCS 37233

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.91 / $1,696.37 / $2,916.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.21 / $981.75 / $3,760.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.22 / $3,372.83 / $7,603.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.66 / $2,202.32 / $3,251.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.39 / $2,079.05 / $3,005.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.36 / $1,531.82 / $2,395.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.93 / $2,167.73 / $3,523.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.50 / $766.60 / $2,470.40