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South Dakota rates for HCPCS 33891

Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.42 / $1,930.61 / $2,413.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.29 / $1,590.14 / $2,580.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.58 / $1,852.50 / $10,107.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.00 / $2,136.82 / $2,938.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.34 / $2,048.02 / $2,756.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.36 / $1,596.66 / $1,820.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.50 / $1,869.42 / $2,529.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.60 / $2,209.00 / $2,297.30