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South Dakota rates for HCPCS 33884

Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $630.96 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $660.69 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $758.58 / $1,047.13