go back

South Dakota rates for HCPCS 33020

Pericardiotomy Removal Clot/Foreign Body Primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.61 / $841.61 / $841.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.14 / $1,422.32 / $2,308.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.00 / $1,953.39 / $2,542.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.59 / $1,397.51 / $1,593.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00