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South Dakota rates for HCPCS 35516

Bypass W/Vein Subclavian-Axillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.81 / $1,203.81 / $1,203.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.93 / $1,203.81 / $1,203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.85 / $2,476.76 / $3,095.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.50 / $1,890.99 / $3,263.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.47 / $2,365.50 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.00 / $2,709.29 / $3,726.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.00 / $2,607.71 / $3,226.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.59 / $2,032.99 / $2,317.84
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
$1,276.47 / $2,301.57 / $3,209.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.80 / $2,812.70 / $2,925.20