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South Dakota rates for HCPCS 33916

Pulmonary Endartercomy W/Wo Embolectomy W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.10 / $4,184.10 / $4,184.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.50 / $4,184.10 / $4,184.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,113.39 / $8,602.82 / $10,753.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.81 / $6,541.15 / $11,056.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,381.56 / $8,174.80 / $29,461.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,757.00 / $9,477.54 / $12,758.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.00 / $8,935.87 / $11,196.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,136.95 / $6,966.54 / $7,942.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,381.56 / $8,131.48 / $11,205.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,192.50 / $9,638.20 / $10,023.79