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South Dakota rates for HCPCS 92973

Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.56 / $173.56 / $173.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.87 / $271.89 / $440.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.50 / $402.85 / $443.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.21 / $292.20 / $333.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00