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South Dakota rates for HCPCS 32855

Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmonary artery, and bronchus; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.25 / $285.25 / $285.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.78 / $285.25 / $285.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.16 / $687.95 / $859.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.63 / $418.75 / $1,346.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.28 / $375.00 / $13,680.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.53 / $699.20 / $870.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.86 / $608.16 / $870.76
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
$268.51 / $503.75 / $503.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.80 / $4,460.89 / $4,639.39