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South Dakota rates for HCPCS 35523

Bypass graft, with vein; brachial-ulnar or -radial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.03 / $1,261.03 / $1,261.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.01 / $1,910.04 / $3,452.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $2,867.09 / $3,920.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.32 / $2,067.69 / $2,344.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00