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South Dakota rates for HCPCS 33535

Cabg W/Arterial Graft Three Arterial Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,467.08 / $2,467.08 / $2,467.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.36 / $3,956.83 / $6,446.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,299.00 / $5,750.84 / $7,486.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.89 / $4,094.93 / $4,668.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$913.43 / $913.43 / $913.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00