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South Dakota rates for HCPCS 33803

Division Aberrant Vessel W/Reanastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.65 / $1,166.65 / $1,166.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.50 / $1,166.65 / $1,166.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.52 / $2,404.30 / $3,005.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.53 / $1,971.64 / $2,992.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.25 / $2,225.31 / $11,932.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.00 / $2,715.71 / $3,532.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.23 / $2,482.52 / $3,070.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.62 / $1,875.71 / $2,206.58
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
$1,208.25 / $2,306.66 / $3,072.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.00 / $2,677.60 / $2,784.70