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South Dakota rates for HCPCS 33030

Pericardiectomy, subtotal or complete; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,466.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26