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South Dakota rates for HCPCS 33777

Rpr Trpos Grt Vsl Atr Baffle W/Byp Sbpulm Obstrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.64 / $1,906.64 / $1,906.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.70 / $1,906.64 / $1,906.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,700.33 / $3,923.55 / $4,904.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,984.03 / $4,939.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.20 / $3,658.76 / $25,568.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,431.00 / $4,447.97 / $5,790.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,289.68 / $4,066.92 / $5,038.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.42 / $3,072.84 / $3,614.88
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
$1,916.68 / $3,607.64 / $5,040.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,728.60 / $4,386.60 / $4,562.00