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South Dakota rates for HCPCS 33315

Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.83 / $1,931.83 / $1,931.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.81 / $3,024.47 / $5,033.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.00 / $4,276.10 / $5,870.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.50 / $3,199.00 / $3,647.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00