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South Dakota rates for HCPCS 33814

Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.85 / $1,547.85 / $1,547.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.11 / $1,547.85 / $1,547.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,016.25 / $3,198.21 / $3,997.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.47 / $2,561.66 / $4,014.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.63 / $2,941.70 / $18,665.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.00 / $3,603.05 / $4,669.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.97 / $3,296.18 / $4,060.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.08 / $2,569.75 / $2,929.81
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
$1,747.24 / $3,003.86 / $4,065.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,022.00 / $3,555.30 / $3,697.50