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South Dakota rates for HCPCS 35501

Bypass W/Vein Common-Ipsilateral Carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.17 / $1,438.17 / $1,438.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.33 / $1,438.17 / $1,438.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.74 / $2,955.91 / $3,694.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,586.71 / $2,258.40 / $4,016.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.13 / $2,869.32 / $10,248.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,668.04 / $3,344.96 / $4,455.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.00 / $3,114.25 / $3,860.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.32 / $2,427.90 / $2,768.09
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
$1,578.13 / $2,469.33 / $3,841.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,855.20 / $3,359.00 / $3,493.40