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South Dakota rates for HCPCS 33859

Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,235.94 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,495.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26