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South Dakota rates for HCPCS 33413

Replacement Aortic&Pulmon Valves Ross Procedur

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,243.77 / $3,243.77 / $3,243.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.05 / $3,243.77 / $4,705.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,287.47 / $6,666.76 / $8,333.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,115.22 / $5,059.93 / $8,589.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,528.01 / $6,414.56 / $26,634.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,536.00 / $7,243.41 / $9,862.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,522.00 / $6,886.42 / $8,574.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,011.59 / $5,368.74 / $6,120.97
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
$3,848.74 / $6,373.31 / $8,592.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,313.50 / $7,427.70 / $7,724.80