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South Dakota rates for HCPCS 33788

Reimplantation Anomalous Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.81 / $1,548.81 / $1,548.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.29 / $1,548.81 / $1,548.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.43 / $3,188.86 / $3,986.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.64 / $2,617.48 / $4,041.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.49 / $3,089.98 / $14,063.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.00 / $3,609.63 / $4,695.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.65 / $3,300.55 / $4,087.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.92 / $2,573.16 / $2,933.69
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
$1,699.49 / $3,010.52 / $4,087.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.00 / $3,560.00 / $3,702.40