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South Dakota rates for HCPCS 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.31 / $1,187.31 / $1,187.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.57 / $1,857.87 / $3,232.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,247.00 / $2,683.53 / $3,674.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.42 / $1,984.77 / $2,262.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00