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South Dakota rates for HCPCS 33677

Closure Multiple Vsd W/Removal Artery Band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,110.57 / $2,110.57 / $2,110.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.87 / $2,110.57 / $2,110.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,094.90 / $4,341.92 / $5,427.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.10 / $3,303.73 / $5,504.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.07 / $4,252.85 / $19,413.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.00 / $4,699.92 / $6,420.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,645.05 / $4,510.14 / $6,105.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,642.82 / $3,407.73 / $4,008.84
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
$2,551.71 / $4,069.82 / $5,592.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,134.89 / $4,864.60 / $5,059.20