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South Dakota rates for HCPCS 35341

Teaec W/Wo Patch Graft Mesenteric Celiac/Renal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $1,375.00 / $1,375.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.97 / $2,323.75 / $3,629.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,564.00 / $3,238.89 / $4,233.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.28 / $2,290.03 / $2,610.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00