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South Dakota rates for HCPCS 33405

Rplcmt Prost Aortic Valve Open Xcp Homogrf/Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.21 / $2,290.21 / $2,290.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.52 / $3,870.45 / $5,960.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,096.00 / $5,338.55 / $6,946.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.77 / $3,800.45 / $4,332.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$845.35 / $845.35 / $845.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$845.35 / $845.35 / $845.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00