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South Dakota rates for HCPCS 33478

Outflow Tract Agmntj W/Wo Commissur/Infund Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.17 / $1,597.17 / $1,597.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.34 / $1,597.17 / $2,339.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,110.30 / $3,297.93 / $4,122.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.53 / $2,699.22 / $4,108.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.59 / $3,037.18 / $21,927.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,805.00 / $3,717.74 / $4,818.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.76 / $3,401.73 / $4,191.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.64 / $2,648.61 / $3,023.61
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
$1,395.46 / $3,004.70 / $4,196.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,118.70 / $3,669.10 / $3,815.90