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South Dakota rates for HCPCS 33736

Atrial Septectomy/Septostomy Open Heart W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.40 / $1,431.40 / $1,431.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.33 / $1,431.40 / $2,099.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.68 / $2,959.02 / $3,698.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,753.52 / $2,419.07 / $3,672.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.67 / $2,715.36 / $16,108.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,486.00 / $3,329.83 / $4,315.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.36 / $3,045.83 / $3,748.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.88 / $2,367.80 / $2,707.28
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
$1,614.18 / $2,773.43 / $3,755.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.40 / $3,285.20 / $3,416.60