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South Dakota rates for HCPCS 33775

Rpr Trpos Great Vsls Atr Baffle W/Rmvl Pulm Band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.89 / $1,874.89 / $1,874.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.09 / $1,874.89 / $1,874.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,646.69 / $3,866.67 / $4,833.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,935.68 / $4,829.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.67 / $3,733.94 / $24,716.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.00 / $4,369.41 / $5,677.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,233.42 / $3,997.06 / $4,936.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.05 / $3,020.05 / $3,552.77
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
$2,053.67 / $3,643.64 / $4,940.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,664.50 / $4,311.20 / $4,483.70