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South Dakota rates for HCPCS 62294

Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.40 / $875.40 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.17 / $875.40 / $2,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.51 / $2,024.10 / $2,530.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.74 / $1,359.79 / $2,055.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.36 / $1,856.84 / $6,816.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.40 / $1,461.72 / $2,254.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.00 / $1,657.60 / $2,556.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.54 / $1,418.44 / $1,902.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.63 / $1,787.93 / $2,463.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.40 / $2,309.30 / $2,309.30