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South Dakota rates for HCPCS 0484T

Tmvi W/Prosthetic Valve Transthoracic Exposure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.50 / $1,713.50 / $1,713.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.04 / $1,713.50 / $1,713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.00 / $2,253.75 / $2,253.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,314.80 / $2,756.00 / $2,895.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.87 / $3,957.98 / $13,067.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.79 / $3,545.09 / $4,369.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,053.42 / $3,972.96 / $4,369.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.89 / $3,517.74 / $4,763.56