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South Dakota rates for HCPCS 35536

Bypass graft, with vein; splenorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,862.09 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $11,748.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,715.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,235.94 / $4,466.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $4,073.80