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South Dakota rates for HCPCS 35646

Bypass graft, with other than vein; aortobifemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,884.03 / $3,235.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$660.69 / $660.69 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26