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South Dakota rates for HCPCS 33505

Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.04 / $2,063.04 / $2,063.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.30 / $2,063.04 / $2,063.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,993.50 / $4,234.41 / $5,293.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,226.72 / $5,402.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.29 / $3,992.60 / $20,369.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,377.00 / $4,568.68 / $6,295.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,962.00 / $4,410.45 / $5,484.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,528.21 / $3,438.44 / $3,920.21
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
$2,159.29 / $3,524.22 / $5,482.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,043.50 / $4,757.10 / $4,947.39