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South Dakota rates for HCPCS 35681

Bypass Composite Graft Prosthetic & Vein

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.58 / $78.58 / $78.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.63 / $132.80 / $214.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.00 / $185.36 / $242.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.20 / $131.63 / $150.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00