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South Dakota rates for HCPCS 33858

Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,405.43 / $3,405.43 / $3,405.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,288.27 / $5,319.14 / $8,472.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,667.46 / $7,949.41 / $10,375.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,536.10 / $5,662.08 / $6,455.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00