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South Dakota rates for HCPCS 35683

Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $691.83 / $13,182.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $776.25 / $1,071.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $977.24