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South Dakota rates for HCPCS 35539

Bypass W/Vein Aortofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.64 / $2,155.64 / $2,155.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.30 / $2,155.64 / $2,155.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,177.93 / $4,429.96 / $5,537.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,121.67 / $3,385.58 / $5,864.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.15 / $4,229.35 / $22,252.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.00 / $4,856.42 / $6,689.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,709.00 / $4,674.64 / $6,287.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.66 / $3,644.41 / $4,155.04
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
$2,326.15 / $4,229.35 / $5,763.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,285.70 / $5,042.10 / $5,243.70