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South Dakota rates for HCPCS 33783

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,890.45 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,897.79 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $6,025.60 / $24,547.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,762.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,754.40 / $6,606.93
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
$3,890.45 / $6,606.93 / $9,332.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $8,128.31 / $8,317.64