go back

South Dakota rates for HCPCS 33516

Coronary Artery Bypass 6/+ Coronary Venous Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.03 / $2,723.03 / $2,723.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,513.67 / $2,723.03 / $2,723.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,280.83 / $5,599.39 / $6,999.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.42 / $4,248.12 / $7,199.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.44 / $5,235.10 / $25,739.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,682.00 / $6,054.57 / $8,268.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.00 / $5,777.98 / $7,188.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,378.88 / $4,504.59 / $5,135.74
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
$3,127.02 / $5,211.70 / $7,204.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,297.30 / $6,232.10 / $6,481.40