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South Dakota rates for HCPCS 33853

Rpr Hypoplstc A-Arch W/Agrft/Prostc W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.94 / $1,854.94 / $1,854.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.33 / $1,854.94 / $2,712.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,608.48 / $3,826.16 / $4,782.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,134.85 / $4,791.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.84 / $3,541.25 / $22,475.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $4,323.46 / $5,612.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.61 / $3,953.39 / $4,881.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.79 / $3,082.12 / $3,513.96
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
$1,924.84 / $3,379.54 / $4,886.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.50 / $4,264.10 / $4,434.70