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South Dakota rates for HCPCS 33502

Rpr Anom Coronary Art Pulm Art Origin Ligation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.39 / $1,302.39 / $1,302.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.03 / $1,302.39 / $1,913.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.32 / $2,695.69 / $3,369.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.15 / $2,085.57 / $3,337.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.51 / $2,463.66 / $9,532.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $3,027.67 / $3,917.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.34 / $2,770.72 / $3,401.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.43 / $2,151.96 / $2,462.75
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
$1,343.51 / $2,523.19 / $3,410.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.19 / $2,988.50 / $3,108.00