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South Dakota rates for HCPCS 33675

Closure Multiple Ventricular Septal Defects

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.07 / $1,981.07 / $1,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.97 / $1,981.07 / $1,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,844.34 / $4,076.25 / $5,095.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.35 / $3,101.10 / $5,205.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.02 / $3,760.96 / $21,294.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,760.00 / $4,381.93 / $6,023.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,420.82 / $4,230.68 / $5,728.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.53 / $3,298.30 / $3,760.43
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
$2,081.02 / $3,760.96 / $5,246.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,878.70 / $4,563.20 / $4,745.70