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South Dakota rates for HCPCS 33778

Rpr Trpos Grt Vessel Aortic Pulmonary Art Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.03 / $2,365.03 / $2,365.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,165.01 / $2,365.03 / $3,448.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,590.14 / $4,867.04 / $6,083.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.90 / $3,996.90 / $6,143.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.14 / $4,544.08 / $27,409.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.00 / $5,523.01 / $7,187.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,083.44 / $5,049.45 / $6,253.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.66 / $3,815.21 / $4,488.18
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
$2,687.06 / $4,478.43 / $6,254.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,629.39 / $5,446.30 / $5,664.20