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South Dakota rates for HCPCS C9604

Perc D-E Cor Revasc T Cabg S

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,338.00 / $4,338.00 / $6,702.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,192.96 / $16,192.96 / $16,192.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $27,366.10 / $44,368.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00