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South Dakota rates for HCPCS 32658

Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.17 / $701.17 / $701.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.82 / $701.17 / $2,055.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.39 / $1,536.80 / $1,901.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.85 / $1,184.98 / $1,872.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.02 / $1,375.38 / $7,761.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.77 / $1,699.37 / $2,194.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.88 / $1,554.57 / $1,896.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.29 / $1,207.98 / $1,381.78
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
$905.48 / $1,363.36 / $1,909.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.30 / $1,548.60 / $1,610.50