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South Dakota rates for HCPCS 33916

Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,677.35 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $10,964.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,623.41 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $7,244.36 / $29,512.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $9,549.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $6,918.31 / $7,943.28
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
$4,365.16 / $7,943.28 / $11,220.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $9,549.93 / $10,000.00