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South Dakota rates for HCPCS 35501

Bypass graft, with vein; common carotid-ipsilateral internal carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,454.71 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,311.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $3,801.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,467.37