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South Dakota rates for HCPCS 33422

Valvotomy Mitral Valve Open Heart W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.12 / $1,688.12 / $1,688.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.22 / $1,688.12 / $1,688.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,283.71 / $3,481.80 / $4,352.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,852.92 / $4,389.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.66 / $3,216.11 / $18,750.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.00 / $3,918.63 / $5,096.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,809.00 / $3,575.66 / $4,426.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.86 / $2,787.64 / $3,178.22
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
$1,750.66 / $3,252.18 / $4,440.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,278.20 / $3,856.70 / $4,011.00