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South Dakota rates for HCPCS 33684

Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,630.27 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,235.94 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,265.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,235.94 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,630.78 / $5,011.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $4,570.88