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South Dakota rates for HCPCS 33675

Closure of multiple ventricular septal defects;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,388.44 / $21,379.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,365.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,388.44 / $3,801.89
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
$2,089.30 / $3,801.89 / $5,248.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $4,786.30