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South Dakota rates for HCPCS 35526

Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $1,749.00 / $1,749.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.86 / $1,749.00 / $1,749.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.19 / $3,597.88 / $4,497.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,729.11 / $4,604.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.43 / $3,348.30 / $12,257.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,137.00 / $4,048.56 / $5,300.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,830.00 / $3,705.93 / $4,605.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.97 / $2,889.20 / $3,294.01
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
$1,775.43 / $2,966.31 / $4,614.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,397.60 / $3,997.20 / $4,157.10