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South Dakota rates for HCPCS 33681

Closure of single ventricular septal defect, with or without patch;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.38 / $1,869.38 / $1,869.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.29 / $1,869.38 / $2,736.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.61 / $3,858.10 / $4,822.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,159.25 / $4,822.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.73 / $3,556.61 / $19,432.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,258.00 / $4,351.78 / $5,646.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,221.76 / $3,980.32 / $4,908.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.38 / $3,103.11 / $3,537.90
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
$1,932.73 / $3,628.34 / $4,912.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,649.20 / $4,293.20 / $4,464.89