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South Dakota rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,691.53 / $18,197.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,467.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,951.21 / $4,168.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $3,801.89