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South Dakota rates for HCPCS 33513

Coronary Artery Bypass 4 Coronary Venous Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.67 / $2,496.67 / $2,496.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.46 / $3,894.89 / $6,524.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.00 / $5,568.65 / $7,588.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.79 / $4,136.35 / $4,715.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00