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South Dakota rates for HCPCS 33676

Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,033.19 / $2,033.19 / $2,033.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.18 / $2,033.19 / $2,033.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,944.27 / $4,182.21 / $5,227.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,966.22 / $3,182.57 / $5,297.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.50 / $4,093.64 / $18,655.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,879.00 / $4,525.83 / $6,182.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,510.92 / $4,342.77 / $5,879.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.65 / $3,281.25 / $3,860.05
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
$2,251.50 / $3,963.88 / $5,383.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.50 / $4,684.10 / $4,871.50