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South Dakota rates for HCPCS G0288

Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $104.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $60.26 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $79.43