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South Dakota rates for HCPCS 35533

Bypass W/Vein Axillary-Femoral-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.84 / $1,486.84 / $1,486.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.77 / $1,486.84 / $1,486.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,883.99 / $3,057.97 / $3,822.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.60 / $2,469.36 / $4,026.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.05 / $2,922.33 / $14,804.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,864.00 / $3,513.69 / $4,602.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.00 / $3,218.31 / $3,986.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.32 / $2,509.04 / $2,860.59
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
$1,572.33 / $2,858.78 / $3,963.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,950.60 / $3,471.30 / $3,610.10