go back

South Dakota rates for HCPCS 35601

Byp Oth/Thn Vein Common-Ipsilateral Carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.62 / $1,390.62 / $1,390.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.29 / $2,175.42 / $3,750.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,518.42 / $3,120.93 / $4,287.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.63 / $2,341.66 / $2,669.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00