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South Dakota rates for HCPCS 35663

Byp Oth/Thn Vein Ilioiliac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.69 / $1,204.69 / $1,204.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.88 / $1,204.69 / $1,204.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.52 / $2,480.65 / $3,100.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.28 / $2,035.93 / $3,372.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.54 / $2,399.16 / $10,743.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $2,844.43 / $3,721.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.00 / $2,606.96 / $3,221.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.24 / $2,032.43 / $2,317.19
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
$1,319.54 / $2,378.71 / $3,205.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.10 / $2,811.90 / $2,924.30