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South Dakota rates for HCPCS 35331

Teaec W/Wo Patch Graft Abdominal Aorta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.65 / $1,453.65 / $1,453.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.69 / $1,453.65 / $1,453.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.27 / $2,954.35 / $3,692.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.18 / $2,456.67 / $3,885.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.78 / $2,819.51 / $10,231.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.00 / $3,393.52 / $4,435.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.46 / $3,089.50 / $3,845.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.51 / $2,408.61 / $2,746.09
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
$1,668.85 / $3,681.65 / $3,846.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.50 / $3,332.30 / $3,465.60