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South Dakota rates for HCPCS 33883

Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.08 / $1,112.08 / $1,112.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.20 / $1,879.42 / $2,980.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.00 / $2,500.96 / $3,397.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.24 / $1,845.18 / $2,103.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00