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South Dakota rates for HCPCS 35371

Teaec W/Wo Patch Graft Common Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.49 / $812.49 / $812.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.50 / $1,373.11 / $2,187.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.00 / $1,903.09 / $2,494.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.96 / $1,355.52 / $1,545.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$304.99 / $304.99 / $304.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$304.99 / $304.99 / $304.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00