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South Dakota rates for HCPCS 33762

Shunt Descending Aorta Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.43 / $1,299.43 / $1,299.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.58 / $1,299.43 / $1,299.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.89 / $2,679.32 / $3,349.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.35 / $2,196.04 / $3,333.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.41 / $2,578.92 / $10,654.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $3,024.95 / $3,930.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.06 / $2,766.35 / $3,418.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.29 / $2,090.17 / $2,458.87
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
$1,418.41 / $2,522.52 / $3,422.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.19 / $2,983.80 / $3,103.10