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South Dakota rates for HCPCS 33017

Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $346.74 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26