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South Dakota rates for HCPCS 33745

Tis Crtj St Congenital Cardiac Anomal 1st Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.64 / $1,078.64 / $1,078.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.61 / $1,078.64 / $1,078.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.69 / $2,215.76 / $2,769.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.83 / $1,687.65 / $2,680.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.97 / $2,081.62 / $7,593.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.64 / $2,519.21 / $3,292.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.82 / $2,410.04 / $3,292.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.47 / $1,785.04 / $2,035.15
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
$1,254.57 / $1,876.63 / $2,919.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.19 / $2,469.60 / $2,568.40