go back

South Dakota rates for HCPCS 35500

Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.94 / $311.94 / $311.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.59 / $527.17 / $853.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $739.31 / $970.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.76 / $527.11 / $600.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00