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South Dakota rates for HCPCS 33690

Banding Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.81 / $1,226.81 / $1,226.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.73 / $1,226.81 / $1,226.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.63 / $2,539.09 / $3,173.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.57 / $2,073.31 / $3,159.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.07 / $2,316.11 / $10,197.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.00 / $2,781.19 / $3,684.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.73 / $2,606.23 / $3,200.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.13 / $2,031.86 / $2,316.55
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
$1,264.07 / $2,374.06 / $3,209.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,389.40 / $2,811.10 / $2,923.50