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South Dakota rates for HCPCS 33647

Repair of atrial septal defect and ventricular septal defect, with direct or patch closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,819.70 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,090.30 / $21,379.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,073.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,090.30 / $3,467.37
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
$1,905.46 / $3,467.37 / $4,786.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,168.69 / $4,365.16