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South Dakota rates for HCPCS 35305

Teaec W/Graft Tibial/Peroneal Art 1st Vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.01 / $1,214.01 / $1,214.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.73 / $1,907.69 / $3,267.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.00 / $2,748.26 / $3,748.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.02 / $2,033.56 / $2,318.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00