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South Dakota rates for HCPCS 35570

Byp Tibl-Tibl/Proneal-Tibl/Tibl/Proneal Trk-Tibl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.37 / $1,454.37 / $1,454.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.97 / $1,454.37 / $1,454.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,822.27 / $2,992.52 / $3,740.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.32 / $2,284.83 / $4,054.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.10 / $2,895.16 / $10,360.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.00 / $3,436.68 / $4,500.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.61 / $3,148.45 / $4,233.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.19 / $2,454.57 / $2,798.49
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
$1,737.10 / $2,874.70 / $3,877.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,886.50 / $3,395.90 / $3,531.70