go back

South Dakota rates for HCPCS 35241

Rpr Blood Vessel Vein Graft Intrathoracic W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.65 / $1,458.65 / $1,458.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.53 / $1,458.65 / $1,458.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.29 / $3,004.21 / $3,755.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,791.15 / $2,465.12 / $3,791.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.11 / $2,772.11 / $11,425.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,547.00 / $3,314.28 / $4,402.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.66 / $3,084.39 / $3,822.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.96 / $2,404.64 / $2,741.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.11 / $2,694.74 / $3,829.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,827.80 / $3,326.80 / $3,459.90