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South Dakota rates for HCPCS 33871

Transvrs A-Arch Grf W/Card Byp Prfd Hypothermia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,265.63 / $3,265.63 / $3,265.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,151.48 / $5,102.63 / $8,125.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,440.73 / $7,626.57 / $9,958.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,350.14 / $5,426.61 / $6,186.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00