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South Dakota rates for HCPCS 33321

Sutr Rpr Aorta/Great Vessel W/Shunt Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.49 / $1,210.49 / $1,210.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.89 / $1,210.49 / $1,210.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,357.16 / $2,499.35 / $3,124.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.43 / $2,045.73 / $3,155.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.36 / $2,292.73 / $11,761.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.00 / $2,804.42 / $3,644.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.84 / $2,558.92 / $3,160.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.10 / $1,994.98 / $2,274.50
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
$1,367.32 / $2,443.14 / $3,171.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.10 / $2,760.10 / $2,870.50