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South Dakota rates for HCPCS 33330

Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.16 / $1,447.16 / $1,447.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.72 / $1,447.16 / $1,447.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,814.92 / $2,984.73 / $3,730.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.63 / $2,259.06 / $3,754.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.41 / $2,751.41 / $14,063.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.00 / $3,195.01 / $4,365.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.00 / $3,062.57 / $3,789.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.83 / $2,387.62 / $2,722.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.41 / $2,443.86 / $3,801.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,365.00 / $2,903.00 / $3,038.00