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South Dakota rates for HCPCS 33475

Replacement Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.11 / $2,348.11 / $2,348.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.30 / $2,348.11 / $3,410.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,557.07 / $4,831.97 / $6,039.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.03 / $3,669.50 / $6,149.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.21 / $4,510.68 / $22,658.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.00 / $5,220.93 / $7,100.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,443.00 / $4,972.30 / $6,179.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.49 / $3,876.48 / $4,419.62
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
$2,441.21 / $4,438.56 / $6,220.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,558.70 / $5,363.10 / $5,577.60