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South Dakota rates for HCPCS 92997

Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.67 / $636.67 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.33 / $1,075.99 / $1,605.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.04 / $1,444.28 / $1,588.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.23 / $1,052.53 / $1,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00