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South Dakota rates for HCPCS 35276

Repair blood vessel with graft other than vein; intrathoracic, without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,041.74 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $10,471.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,235.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,818.38 / $3,890.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,548.13