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South Dakota rates for HCPCS 33928

Removal & Rplcmt Total Rplcmt Heart Sys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,769.18 / $2,769.18 / $2,769.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.18 / $2,769.18 / $2,877.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,290.32 / $4,290.32 / $6,109.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.11 / $4,679.91 / $6,668.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.00 / $4,576.35 / $19,998.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,505.85 / $6,270.68 / $8,083.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,397.58 / $5,751.76 / $8,083.02
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
$2,517.00 / $4,426.35 / $6,885.45