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South Dakota rates for HCPCS 35612

Byp Oth/Thn Vein Subclavian-Subclavian

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.75 / $1,035.75 / $1,035.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.81 / $1,035.75 / $1,035.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.81 / $2,133.17 / $2,666.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.92 / $1,750.42 / $2,790.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.35 / $2,035.20 / $9,728.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.00 / $2,313.46 / $3,194.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.00 / $2,238.71 / $2,763.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.24 / $1,745.32 / $1,989.86
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
$1,119.35 / $2,035.20 / $2,751.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.50 / $2,414.69 / $2,511.19