go back

South Dakota rates for HCPCS 33822

Rpr Patent Duxus Arteriosus Div Under 18 Yr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.97 / $1,036.97 / $1,036.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.50 / $1,036.97 / $1,036.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.37 / $2,143.30 / $2,679.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.77 / $1,752.48 / $2,653.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.85 / $2,052.48 / $10,227.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,827.00 / $2,412.94 / $3,128.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.07 / $2,208.13 / $2,718.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.79 / $1,668.40 / $1,962.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.85 / $2,011.24 / $2,724.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.40 / $2,381.69 / $2,477.00