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South Dakota rates for HCPCS 33050

Resection Pericardial Cyst/Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.42 / $1,027.42 / $1,027.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.51 / $1,027.42 / $1,059.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.41 / $2,128.50 / $2,660.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.33 / $1,667.98 / $2,631.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.02 / $1,936.88 / $11,892.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,714.00 / $2,241.13 / $3,084.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.00 / $2,183.40 / $2,680.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.29 / $1,697.09 / $1,940.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.92 / $1,910.94 / $2,684.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.70 / $2,355.00 / $2,449.19