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South Dakota rates for HCPCS 35637

Byp Oth/Thn Vein Aortoiliac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.03 / $1,635.03 / $1,635.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.14 / $1,635.03 / $1,692.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,171.29 / $3,362.60 / $4,203.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.28 / $2,567.35 / $4,648.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.80 / $3,326.90 / $16,656.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,679.80 / $5,064.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,812.00 / $3,542.18 / $4,762.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.48 / $2,761.54 / $3,148.46
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
$1,829.80 / $3,232.22 / $4,364.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,247.50 / $3,820.60 / $3,973.40