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South Dakota rates for HCPCS 33880

Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment of an aorto-aortic tube endograft covering the left subclavian artery and all aortic tube endograft extension(s) proximally in the aortic arch and ascending aorta and distally to the celiac artery, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.86 / $1,781.86 / $1,781.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.40 / $2,782.48 / $4,785.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,176.00 / $4,015.07 / $5,469.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.06 / $2,966.37 / $3,381.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$669.31 / $669.31 / $669.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00