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South Dakota rates for HCPCS 33802

Division Aberrant Vessel Vascular Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.74 / $1,108.74 / $1,108.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.78 / $1,071.57 / $1,630.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,165.38 / $2,296.01 / $2,870.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.04 / $1,873.77 / $2,995.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.02 / $2,092.44 / $10,431.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.00 / $2,559.91 / $3,329.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.31 / $2,356.61 / $2,893.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.12 / $1,837.24 / $2,094.66
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
$1,245.83 / $2,180.21 / $2,899.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.60 / $2,541.80 / $2,643.50