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South Dakota rates for HCPCS 33967

Insertion of intra-aortic balloon assist device, percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $436.52 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $588.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28