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South Dakota rates for HCPCS 35512

Bypass graft, with vein; subclavian-brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.39 / $1,189.39 / $1,189.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.76 / $1,189.39 / $1,189.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.66 / $2,447.92 / $3,059.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.59 / $2,000.00 / $3,671.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.37 / $2,649.76 / $10,997.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,247.00 / $2,811.24 / $3,680.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.00 / $2,576.41 / $3,188.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.75 / $2,057.17 / $2,406.19
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
$1,074.28 / $2,468.98 / $3,172.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.10 / $2,778.90 / $2,890.10