go back

South Dakota rates for HCPCS 35645

Byp Oth/Thn Vein Subclavian-Vertebral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.88 / $938.88 / $938.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.73 / $938.88 / $938.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.71 / $1,933.73 / $2,417.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.96 / $1,586.71 / $2,526.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.54 / $2,004.62 / $10,574.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.00 / $2,214.32 / $2,895.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.00 / $2,028.38 / $2,508.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.08 / $1,581.34 / $1,802.91
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
$1,202.77 / $1,850.78 / $2,494.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.60 / $2,187.80 / $2,275.30