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South Dakota rates for HCPCS 33877

Rpr Thoracoabdominal Aortic Aneurys W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,591.71 / $3,591.71 / $3,591.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,491.59 / $5,625.79 / $9,589.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,686.84 / $8,078.77 / $11,044.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,547.41 / $6,007.06 / $6,848.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00