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South Dakota rates for HCPCS 33254

Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.56 / $1,380.56 / $1,380.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.85 / $1,380.56 / $1,380.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.01 / $2,852.29 / $3,565.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.57 / $2,166.34 / $3,564.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.88 / $2,599.78 / $11,930.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,356.00 / $3,031.04 / $4,173.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.00 / $2,932.29 / $3,964.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.68 / $2,286.05 / $2,606.36
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
$1,559.87 / $2,676.98 / $3,609.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,688.40 / $3,162.80 / $3,289.30