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South Dakota rates for HCPCS 35540

Bypass W/Vein Aortobifemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,401.57 / $2,401.57 / $2,401.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.06 / $2,401.57 / $2,401.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,652.60 / $4,933.26 / $6,166.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.37 / $3,770.49 / $6,855.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,699.58 / $4,908.32 / $24,892.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,517.00 / $5,428.77 / $7,456.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,134.00 / $5,208.84 / $7,006.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.69 / $4,060.88 / $4,629.85
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
$2,944.99 / $4,908.32 / $6,423.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.50 / $5,618.20 / $5,843.00