go back

South Dakota rates for HCPCS 33517

Coronary Artery Byp W/Vein & Artery Graft 1 Vein

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.34 / $186.34 / $186.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.98 / $291.93 / $493.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.00 / $418.23 / $573.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.96 / $310.94 / $354.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$69.62 / $69.62 / $69.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$69.62 / $69.62 / $69.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00