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South Dakota rates for HCPCS 35870

Repair of graft-enteric fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.50 / $1,234.50 / $1,234.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.78 / $1,234.50 / $1,234.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.63 / $2,539.09 / $3,173.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.06 / $2,000.00 / $3,325.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.60 / $2,414.92 / $15,227.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.00 / $2,912.61 / $3,813.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.57 / $2,668.84 / $3,300.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.81 / $2,080.66 / $2,372.17
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
$1,425.94 / $2,557.09 / $3,280.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.80 / $2,878.60 / $2,993.70