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South Dakota rates for HCPCS 33140

Transmyocardial Laser Revascular Thoracotomy Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.41 / $1,574.41 / $1,574.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.51 / $1,574.41 / $1,574.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,057.40 / $3,241.84 / $4,052.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.43 / $2,456.42 / $4,151.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.89 / $3,013.80 / $12,147.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.00 / $3,494.80 / $4,768.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.00 / $3,338.39 / $4,145.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.13 / $2,602.66 / $2,967.33
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
$1,799.88 / $3,038.48 / $4,154.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.70 / $3,600.80 / $3,744.80