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South Dakota rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.54 / $1,345.54 / $1,345.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.57 / $1,345.54 / $1,345.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,648.86 / $2,808.66 / $3,510.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.77 / $2,111.77 / $3,383.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.94 / $2,508.98 / $10,193.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.00 / $2,965.55 / $3,845.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.14 / $2,745.25 / $3,350.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.97 / $2,103.81 / $2,440.11
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
$1,505.39 / $2,261.94 / $3,518.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.90 / $2,961.00 / $3,079.50