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South Dakota rates for HCPCS 35361

Teaec W/Wo Patch Graft Combined Aortoiliac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.91 / $1,501.91 / $1,501.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.77 / $1,501.91 / $1,501.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.38 / $3,089.13 / $3,861.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.36 / $2,538.23 / $4,067.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.72 / $2,953.04 / $10,700.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,899.00 / $3,549.46 / $4,647.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,653.00 / $3,251.79 / $4,025.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.21 / $2,535.14 / $2,890.35
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
$1,356.80 / $2,574.36 / $4,004.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,981.30 / $3,507.40 / $3,647.70