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South Dakota rates for HCPCS 33750

Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.03 / $1,280.03 / $1,280.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.11 / $1,280.03 / $1,280.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,487.94 / $2,638.03 / $3,297.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.34 / $2,163.25 / $3,483.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.47 / $2,539.04 / $15,065.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,152.00 / $2,880.51 / $3,872.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,204.57 / $2,722.68 / $3,367.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.13 / $2,122.64 / $2,420.05
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
$1,396.47 / $2,472.48 / $3,370.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.19 / $2,936.70 / $3,054.20