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South Dakota rates for HCPCS 34520

Cross-Over Vein Graft Venous System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.81 / $981.81 / $981.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.05 / $981.81 / $981.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.48 / $2,022.54 / $2,528.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,659.26 / $2,639.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.07 / $2,029.22 / $6,973.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.00 / $2,313.11 / $3,024.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $2,121.53 / $2,614.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.89 / $1,653.97 / $1,885.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.53 / $2,029.31 / $2,606.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.00 / $2,288.30 / $2,379.80