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South Dakota rates for HCPCS 35647

Byp Oth/Thn Vein Aortofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.87 / $1,539.87 / $1,539.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.39 / $2,410.17 / $4,146.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.00 / $3,614.54 / $4,735.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.41 / $2,552.73 / $2,910.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00