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South Dakota rates for HCPCS 33973

Insertion of intra-aortic balloon assist device through the ascending aorta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $870.96 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $954.99 / $1,380.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,202.26