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South Dakota rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.04 / $144.04 / $144.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.09 / $243.43 / $395.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.00 / $339.94 / $447.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $242.85 / $276.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00