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South Dakota rates for HCPCS 61708

Arysm Vasc Malfrmj/Icra Electrothrombosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,294.21 / $2,294.21 / $2,294.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.59 / $2,294.21 / $7,488.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,922.89 / $5,265.16 / $6,581.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,573.34 / $3,749.50 / $6,528.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,618.23 / $4,581.91 / $17,960.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,396.75 / $5,659.69 / $7,880.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,448.00 / $4,922.89 / $6,888.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,251.30 / $4,397.34 / $5,024.47
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
$2,618.23 / $4,363.72 / $6,556.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,984.50 / $5,864.10 / $6,098.60