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South Dakota rates for HCPCS 33766

Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,290.87 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $3,548.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,090.30 / $3,235.94