go back

South Dakota rates for HCPCS 33257

Atria Ablate & Rcnstj W/Other Procedure Limite

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.27 / $597.27 / $597.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.45 / $934.98 / $1,525.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.00 / $1,302.86 / $1,783.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.98 / $981.12 / $1,123.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$216.32 / $216.32 / $216.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$216.32 / $216.32 / $216.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00