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South Dakota rates for HCPCS 35638

Bypass graft, with other than vein; aortobi-iliac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,398.83 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,890.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,019.95 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26