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South Dakota rates for HCPCS 35879

Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32