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South Dakota rates for HCPCS 35540

Bypass graft, with vein; aortobifemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,388.44 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,168.69 / $25,118.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,370.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,365.16 / $4,677.35
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
$2,691.53 / $4,677.35 / $6,456.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,623.41 / $5,888.44