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South Dakota rates for HCPCS 35650

Bypass graft, with other than vein; axillary-axillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.74 / $1,009.74 / $1,009.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.24 / $1,009.74 / $1,009.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.64 / $2,077.86 / $2,597.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.26 / $1,706.46 / $2,907.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.17 / $2,091.21 / $10,574.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.00 / $2,421.80 / $3,122.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.00 / $2,184.84 / $2,703.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.09 / $1,703.33 / $1,941.99
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
$1,150.17 / $1,993.26 / $2,689.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.10 / $2,356.60 / $2,450.80