go back

South Dakota rates for HCPCS 33602

Closure Semilunar Valve Aortic/Pulm Suture/Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.92 / $1,690.92 / $1,690.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.49 / $1,690.92 / $1,690.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,291.79 / $3,490.37 / $4,362.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,649.06 / $4,394.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.47 / $3,221.44 / $19,432.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,923.00 / $3,934.14 / $5,108.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.56 / $3,602.59 / $4,441.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.80 / $2,808.63 / $3,202.16
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
$2,120.30 / $4,167.83 / $4,448.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,302.90 / $3,885.80 / $4,041.20