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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
$786.35 / $786.35 / $786.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.65 / $1,328.93 / $2,091.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.00 / $1,781.21 / $2,358.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.41 / $1,301.05 / $1,483.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$296.24 / $296.24 / $296.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00