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South Dakota rates for HCPCS 35266

Repair blood vessel with graft other than vein; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.54 / $864.54 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.58 / $1,461.07 / $2,302.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.00 / $2,034.20 / $2,645.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.22 / $1,449.14 / $1,652.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00