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South Dakota rates for HCPCS C9766

Revascularization Endovascular Open Or Percutaneous Any Vessel(S); With Intravascular Lithotripsy And Atherectomy Includes Angioplasty Within The Same Vessel(S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,338.00 / $4,338.00 / $4,937.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,906.24 / $34,906.24 / $34,906.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $58,991.55 / $95,643.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,123.40 / $19,123.40 / $22,310.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00