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South Dakota rates for HCPCS 35522

Bypass W/Vein Axillary-Brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.56 / $1,154.56 / $1,154.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.03 / $1,154.56 / $1,154.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.06 / $2,376.26 / $2,970.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.20 / $1,951.21 / $3,241.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.56 / $2,362.17 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,188.00 / $2,727.55 / $3,573.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.00 / $2,499.98 / $3,238.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.35 / $1,949.02 / $2,222.10
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
$1,274.56 / $2,280.86 / $3,221.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.00 / $2,696.50 / $2,804.30