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South Dakota rates for HCPCS 35509

Bypass graft, with vein; carotid-contralateral carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.97 / $1,391.97 / $1,391.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.08 / $1,391.97 / $1,391.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,699.56 / $2,862.41 / $3,578.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.77 / $2,185.32 / $3,781.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.95 / $2,741.40 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,586.30 / $3,134.33 / $4,312.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.00 / $3,014.53 / $3,736.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.56 / $2,350.17 / $2,679.46
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
$1,525.95 / $2,689.18 / $3,718.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,763.70 / $3,251.50 / $3,381.50