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South Dakota rates for HCPCS 33910

Pulmonary artery embolectomy; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,467.37 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,570.88 / $18,620.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,888.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,365.16 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $5,011.87 / $6,918.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $6,309.57