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South Dakota rates for HCPCS 33684

Clsr V-Septl Dfct W/Pulm Vlvt/Infund Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,898.86 / $1,898.86 / $1,898.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.67 / $1,898.86 / $2,769.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,685.63 / $3,907.97 / $4,884.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,972.15 / $4,985.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.43 / $3,652.09 / $19,602.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,372.00 / $4,222.77 / $5,771.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.00 / $4,055.29 / $5,023.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.83 / $3,161.55 / $3,604.53
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
$1,981.43 / $3,699.58 / $5,026.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,717.90 / $4,374.00 / $4,549.00