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South Dakota rates for HCPCS 33259

Atria Abltj & Rcnstj W/Other Px Exten W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.94 / $866.94 / $866.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.08 / $1,357.61 / $2,212.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.00 / $1,891.34 / $2,592.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.65 / $1,422.07 / $1,630.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$314.13 / $314.13 / $314.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$314.13 / $314.13 / $314.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00