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South Dakota rates for HCPCS 61645

Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and intraprocedural pharmacological thrombolytic injection(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,365.16 / $42,657.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $1,862.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26