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South Dakota rates for HCPCS 35572

Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.10 / $339.10 / $339.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.45 / $573.08 / $921.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $797.82 / $1,049.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.63 / $569.10 / $648.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00