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South Dakota rates for HCPCS 33230

Insertion of implantable defibrillator pulse generator only; with existing dual leads

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $660.69 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $741.31 / $1,023.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $912.01