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South Dakota rates for HCPCS 35306

Teaec W/Graft Ea Addl Tibial/Peroneal Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.50 / $435.50 / $435.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.86 / $435.50 / $435.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.32 / $892.07 / $1,115.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.12 / $682.52 / $1,194.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $845.66 / $4,680.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $988.88 / $1,358.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.00 / $946.87 / $1,274.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.72 / $738.19 / $841.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $845.66 / $1,168.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.10 / $1,021.30 / $1,062.09