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South Dakota rates for HCPCS 33864

Ascending Aorta Grf Valve Spare Root Remodel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,223.21 / $3,223.21 / $3,223.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,114.64 / $5,032.14 / $8,483.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,547.00 / $7,217.96 / $9,839.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,033.56 / $5,363.06 / $6,114.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$1,204.65 / $1,204.65 / $1,204.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00