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South Dakota rates for HCPCS 33506

Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,290.87 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,235.94 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,548.13 / $20,417.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,570.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,630.78 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,890.45 / $5,495.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $4,897.79