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South Dakota rates for HCPCS 33776

Rpr Trpos Grt Vsl Atr Baffle W/Clsr V-Septl Dfct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.72 / $1,982.72 / $1,982.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.30 / $1,982.72 / $1,982.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,859.04 / $4,091.83 / $5,114.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,106.73 / $5,102.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.36 / $3,946.10 / $25,568.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,507.00 / $4,622.60 / $6,001.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,420.94 / $4,227.77 / $5,217.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.48 / $3,194.37 / $3,757.84
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
$2,367.66 / $3,911.56 / $5,224.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,876.10 / $4,560.10 / $4,742.50