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South Dakota rates for HCPCS 33250

Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.50 / $1,478.50 / $1,478.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.64 / $1,478.50 / $1,478.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,875.91 / $3,049.40 / $3,811.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.72 / $2,307.92 / $3,869.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.75 / $2,812.17 / $10,343.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,541.00 / $3,252.80 / $4,461.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.00 / $3,130.25 / $3,875.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.28 / $2,440.39 / $2,782.32
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
$1,849.39 / $3,884.58 / $3,884.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.80 / $3,376.30 / $3,511.30