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South Dakota rates for HCPCS 33031

Pericardiectomy, subtotal or complete; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,311.31 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,495.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $4,168.69 / $4,677.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26