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South Dakota rates for HCPCS 33781

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.04 / $2,312.04 / $2,312.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,139.66 / $2,312.04 / $2,312.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,474.05 / $4,743.93 / $5,929.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.01 / $3,811.27 / $6,074.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.58 / $4,690.14 / $30,682.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,985.00 / $5,171.26 / $7,059.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,842.00 / $4,944.64 / $6,150.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.14 / $3,736.02 / $4,395.04
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
$2,814.08 / $4,924.64 / $6,146.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,533.30 / $5,333.30 / $5,546.60