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South Dakota rates for HCPCS 33025

Creation of pericardial window or partial resection for drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,778.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $1,479.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26