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South Dakota rates for HCPCS 33870

Transverse Arch Graft, With Cardiopulmonary Bypass

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,726.60 / $5,201.27 / $6,501.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,534.00 / $31,534.00 / $31,534.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,773.73 / $4,502.00 / $4,502.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,773.73 / $4,456.00 / $5,008.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,146.29 / $4,257.51 / $4,949.64