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South Dakota rates for HCPCS C9602

Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,338.00 / $4,338.00 / $6,702.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,207.86 / $19,207.86 / $19,207.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,571.69 / $27,467.24 / $32,461.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00