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South Dakota rates for HCPCS 33778

Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,715.35 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $27,542.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,248.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $4,466.84
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
$2,454.71 / $4,466.84 / $6,309.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $5,623.41