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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
$1,719.27 / $1,719.27 / $1,719.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.15 / $2,693.66 / $4,714.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,120.00 / $3,922.04 / $5,300.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.13 / $2,904.52 / $3,311.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00