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South Dakota rates for HCPCS 33622

Reconstruction Complex Cardiac Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,432.01 / $3,432.01 / $3,432.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,177.29 / $3,432.01 / $4,991.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,648.98 / $7,050.08 / $8,812.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,327.18 / $5,369.62 / $8,904.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,176.60 / $6,961.00 / $24,209.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,344.92 / $8,029.58 / $10,475.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,447.14 / $7,344.92 / $9,951.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,325.12 / $5,726.20 / $6,528.51
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
$4,176.60 / $6,704.10 / $9,124.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,733.90 / $7,922.20 / $8,239.10