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South Dakota rates for HCPCS 33971

Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,584.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26