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South Dakota rates for HCPCS 35884

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.26 / $1,222.26 / $1,222.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.78 / $1,222.26 / $1,222.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.38 / $2,513.38 / $3,141.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.66 / $1,919.47 / $3,317.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.46 / $2,359.58 / $12,431.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.00 / $2,751.86 / $3,785.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.82 / $2,646.27 / $3,560.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.65 / $2,063.07 / $2,352.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.46 / $2,477.56 / $3,261.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.10 / $2,854.30 / $2,968.40