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South Dakota rates for HCPCS C9606

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $688.00 / $688.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.00 / $688.00 / $23,933.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.72 / $2,000.00 / $40,447.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00