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South Dakota rates for HCPCS 61651

Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each additional vascular territory (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $323.59 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $501.19 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26