go back

South Dakota rates for HCPCS 35256

Repair Blood Vessel Vein Graft Lower Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.94 / $1,021.94 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.07 / $1,727.08 / $2,711.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.00 / $2,371.44 / $3,113.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.00 / $1,703.33 / $1,941.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00