go back

South Dakota rates for HCPCS 35536

Bypass W/Vein Splenorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.16 / $1,666.16 / $1,666.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.84 / $1,666.16 / $1,666.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,230.81 / $3,425.70 / $4,282.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,776.63 / $4,518.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.40 / $3,351.64 / $11,870.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,223.00 / $3,937.86 / $5,162.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,950.00 / $3,609.14 / $4,470.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.75 / $2,813.74 / $3,207.98
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
$1,843.40 / $2,857.93 / $4,445.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,308.90 / $3,892.80 / $4,048.50