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South Dakota rates for HCPCS 35521

Bypass W/Vein Axillary-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.45 / $1,214.45 / $1,214.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.45 / $1,214.45 / $1,214.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,357.16 / $2,499.35 / $3,124.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.39 / $2,052.42 / $3,278.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.03 / $2,378.19 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $2,866.30 / $3,752.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.00 / $2,626.63 / $3,246.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.48 / $2,047.75 / $2,334.66
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
$1,401.22 / $2,516.54 / $3,230.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.10 / $2,833.10 / $2,946.40