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South Dakota rates for HCPCS 33536

Cabg W/Arterial Graft Four/>Arterial Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,653.90 / $2,653.90 / $2,653.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,560.12 / $4,205.42 / $6,953.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,579.00 / $6,197.15 / $8,063.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,291.53 / $4,410.97 / $5,029.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$979.44 / $979.44 / $979.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00