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South Dakota rates for HCPCS 35621

Byp Oth/Thn Vein Axillary-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.71 / $1,089.71 / $1,089.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.92 / $1,841.61 / $2,943.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.00 / $2,558.46 / $3,355.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.09 / $1,821.35 / $2,076.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00