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South Dakota rates for HCPCS 33507

Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,905.46 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,951.21 / $15,135.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,884.03 / $3,311.31
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
$1,819.70 / $3,311.31 / $4,570.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,981.07 / $4,168.69