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South Dakota rates for HCPCS 37249

Trlml Balo Angiop Open/Perq W/Img S&I Addl Vein

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.04 / $497.27 / $9,231.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.75 / $213.42 / $702.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.19 / $713.10 / $1,226.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.76 / $413.43 / $1,149.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.83 / $1,488.71 / $3,194.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $949.60 / $1,338.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.23 / $799.44 / $1,338.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $605.85 / $840.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.61 / $1,332.58 / $1,555.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.30 / $350.20 / $1,040.09