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South Dakota rates for HCPCS 33141

Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.29 / $131.29 / $131.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $131.29 / $131.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.23 / $269.57 / $336.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.32 / $292.11 / $490.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.10 / $255.04 / $5,803.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.38 / $307.94 / $402.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.82 / $293.89 / $448.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.34 / $220.15 / $251.00
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
$150.10 / $250.16 / $349.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.89 / $304.60 / $316.80