go back

South Dakota rates for HCPCS 33514

Coronary artery bypass, vein only; 5 coronary venous grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.72 / $2,630.72 / $2,630.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.78 / $2,630.72 / $2,630.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,102.28 / $5,410.07 / $6,762.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.81 / $4,104.64 / $6,892.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,747.32 / $5,052.17 / $23,438.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,499.00 / $5,857.85 / $7,984.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,456.00 / $5,582.21 / $6,972.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,276.82 / $4,351.96 / $4,961.72
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
$2,747.32 / $4,995.12 / $6,945.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,117.80 / $6,020.90 / $6,261.80