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South Dakota rates for HCPCS 85170

Blood Clot Retraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.92 / $15.32 / $15.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $32.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $29.38 / $36.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $15.39 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $9.77 / $19.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $21.28 / $29.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $10.37 / $42.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $38.06 / $44.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $6.85 / $16.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30