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South Dakota rates for HCPCS 33822

Repair of patent ductus arteriosus; by division, younger than 18 years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,737.80 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,290.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $2,754.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $2,454.71