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South Dakota rates for HCPCS 35525

Bypass W/Vein Brachial-Brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.46 / $1,124.46 / $1,124.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.77 / $1,900.34 / $3,070.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.00 / $2,644.38 / $3,466.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.60 / $1,849.07 / $2,096.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00