go back

South Dakota rates for HCPCS 35506

Bypass W/Vein Carotid-Subclv/Subclavian Carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.61 / $1,256.61 / $1,256.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.61 / $1,256.61 / $1,256.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.71 / $2,585.83 / $3,232.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.36 / $2,123.69 / $3,407.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.07 / $2,471.01 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.00 / $2,825.34 / $3,890.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.00 / $2,723.42 / $3,367.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.56 / $2,123.21 / $2,420.69
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
$1,352.07 / $2,433.04 / $3,351.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.80 / $2,937.50 / $3,055.00