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South Dakota rates for HCPCS 33766

Shunt Superior Vena Cava Pulmonary Art 1 Lung

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.05 / $1,350.05 / $1,350.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.64 / $1,350.05 / $1,350.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,622.41 / $2,780.61 / $3,475.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.87 / $2,281.58 / $3,676.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.05 / $2,681.90 / $9,886.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.00 / $3,141.70 / $4,083.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.29 / $2,871.88 / $3,552.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.79 / $2,238.96 / $2,552.67
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
$1,475.05 / $2,619.71 / $3,557.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,633.00 / $3,097.60 / $3,221.50