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South Dakota rates for HCPCS 35281

Rpr Blvsl W/Grft Other/Than Vein Intra-Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.04 / $1,624.04 / $1,624.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,537.01 / $4,311.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,876.00 / $3,792.89 / $4,964.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.00 / $2,733.17 / $3,116.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00