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South Dakota rates for HCPCS 33404

Construction of apical-aortic conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,019.95 / $21,379.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,890.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,388.44 / $4,677.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,073.80 / $4,168.69