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South Dakota rates for HCPCS 35632

Bypass graft, with other than vein; ilio-celiac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.26 / $1,779.26 / $1,779.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.64 / $1,779.26 / $1,779.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,450.50 / $3,658.65 / $4,573.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.75 / $2,794.65 / $4,832.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.78 / $3,436.30 / $12,685.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.00 / $4,208.21 / $5,516.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.03 / $3,855.87 / $5,186.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.73 / $3,006.09 / $3,427.28
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
$2,061.78 / $3,436.30 / $4,751.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,535.10 / $4,158.89 / $4,325.30