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South Dakota rates for HCPCS 33030

Pricardiectomy Stot/Compl W/O Cardpulm Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.82 / $2,019.82 / $2,019.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.58 / $3,163.46 / $5,254.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.00 / $4,465.88 / $6,126.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,277.65 / $3,356.17 / $3,826.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00