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South Dakota rates for HCPCS 33273

Repos Previously Implanted Subq Implantable Dfb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.36 / $412.36 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.96 / $412.36 / $412.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.05 / $854.67 / $1,068.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.63 / $647.20 / $1,049.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.36 / $787.62 / $2,878.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.39 / $954.57 / $2,930.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.97 / $902.95 / $1,179.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.13 / $674.19 / $769.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.36 / $787.62 / $1,078.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.00 / $934.20 / $971.50