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South Dakota rates for HCPCS 35211

Rpr Blood Vessel Direct Intrathoracic W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.34 / $1,408.34 / $1,408.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.58 / $2,217.25 / $3,631.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,441.00 / $3,153.36 / $4,279.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.24 / $2,332.98 / $2,664.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00