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South Dakota rates for HCPCS 33920

Rpr Pulmonary Atresia W/Constj/Rplcmt Conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.05 / $1,824.05 / $1,824.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.54 / $1,824.05 / $2,660.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,540.15 / $3,753.70 / $4,692.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,885.80 / $4,771.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.30 / $3,653.28 / $24,074.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,202.00 / $4,254.18 / $5,540.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,146.24 / $3,891.53 / $4,822.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.42 / $3,033.89 / $3,458.97
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
$2,191.96 / $3,315.17 / $4,822.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,567.80 / $4,197.39 / $4,365.30