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South Dakota rates for HCPCS 33522

Coronary Artery Byp W/Vein & Artery Graft 5 Vein

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.49 / $729.49 / $729.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.10 / $1,185.60 / $1,930.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.00 / $1,708.87 / $2,236.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.43 / $1,217.07 / $1,387.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$273.58 / $273.58 / $273.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00