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South Dakota rates for HCPCS 0677T

Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first repositioned lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,073.00 / $3,073.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,308.27 / $9,308.27 / $10,859.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00