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South Dakota rates for HCPCS 33768

Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $707.95 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $794.33
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
$467.74 / $794.33 / $1,096.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,000.00