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South Dakota rates for HCPCS L8670

Vascular Graft Material, Synthetic, Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.63 / $559.63 / $559.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.47 / $559.63 / $652.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.74 / $375.74 / $734.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.75 / $782.50 / $968.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.36 / $945.77 / $2,890.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.17 / $444.43 / $763.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.09 / $734.94 / $1,153.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.91 / $745.28 / $1,404.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.29 / $652.47 / $775.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.89 / $399.99 / $713.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.32 / $601.32 / $601.32