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South Dakota rates for HCPCS 35665

Bypass graft, with other than vein; iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,630.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $2,238.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$446.68 / $446.68 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26