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South Dakota rates for HCPCS 33922

Transection Pulmonary Artery W/Card Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.26 / $1,411.26 / $1,411.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.67 / $1,411.26 / $1,411.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,749.53 / $2,915.39 / $3,644.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.01 / $2,211.65 / $3,628.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.40 / $2,683.31 / $19,381.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,447.00 / $3,285.61 / $4,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.82 / $3,004.34 / $3,702.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.98 / $2,339.37 / $2,670.40
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
$1,460.40 / $2,414.32 / $3,708.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.40 / $3,240.50 / $3,370.10