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South Dakota rates for HCPCS 33017

Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.35 / $249.35 / $249.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.58 / $390.29 / $632.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.37 / $582.28 / $752.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.97 / $411.37 / $469.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00