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South Dakota rates for HCPCS 33641

Rpr Atrial Septal Dfct Secundum W/Byp W/Wo Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.76 / $1,650.76 / $1,650.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.08 / $2,585.44 / $4,292.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.00 / $3,658.46 / $5,011.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,040.17 / $2,748.49 / $3,133.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$609.72 / $609.72 / $609.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$609.72 / $609.72 / $609.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00