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South Dakota rates for HCPCS 35881

Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.21 / $1,019.21 / $1,019.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.26 / $1,722.46 / $2,721.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.00 / $2,405.38 / $3,125.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.92 / $1,704.47 / $1,943.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00