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South Dakota rates for HCPCS 35626

Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.60 / $1,598.60 / $1,598.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.95 / $2,701.63 / $4,186.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $3,716.32 / $4,888.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.79 / $2,664.51 / $3,037.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00