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South Dakota rates for HCPCS 37616

Ligation Major Artery Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.07 / $1,134.07 / $1,134.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.88 / $1,134.07 / $1,134.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.29 / $2,428.44 / $3,035.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.97 / $1,850.34 / $2,905.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.38 / $2,137.84 / $8,080.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.00 / $2,485.42 / $3,391.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.00 / $2,478.81 / $2,937.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.80 / $1,877.91 / $2,209.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.38 / $2,217.17 / $2,962.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.69 / $2,680.80 / $2,788.00