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South Dakota rates for HCPCS 33500

Rpr Coronary Av/Arteriocar Chmbr Fstl W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.26 / $1,583.26 / $1,583.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.09 / $1,583.26 / $1,583.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.24 / $3,262.87 / $4,078.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.99 / $2,675.71 / $4,115.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.39 / $3,017.81 / $18,154.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,751.00 / $3,574.57 / $4,782.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.00 / $3,352.95 / $4,153.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.14 / $2,614.01 / $2,980.27
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
$1,789.51 / $3,895.98 / $4,165.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,074.00 / $3,616.50 / $3,761.20