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South Dakota rates for HCPCS 33859

As-Aort Grf W/Card Byp F/Aortic Ds Oth/Thn Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,449.96 / $2,449.96 / $2,449.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.62 / $3,828.58 / $6,088.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.74 / $5,716.43 / $7,456.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,258.15 / $4,071.10 / $4,641.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00