go back

South Dakota rates for HCPCS 33620

Application Right & Left Pulmonary Artery Band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.39 / $1,658.39 / $1,658.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.59 / $2,595.96 / $4,117.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,542.18 / $3,872.42 / $5,040.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.32 / $2,676.36 / $3,148.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00