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South Dakota rates for HCPCS 33775

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,754.23 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,162.28 / $24,547.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,168.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,019.95 / $3,548.13
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
$2,041.74 / $3,630.78 / $4,897.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,265.80 / $4,466.84