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South Dakota rates for HCPCS 61635

Tcat Plmt Iv Stent Icra W/Balo Angiop If Pfrmd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.36 / $1,358.36 / $1,358.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.04 / $2,065.30 / $3,673.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.48 / $3,506.17 / $4,469.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.75 / $2,475.10 / $2,911.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00