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South Dakota rates for HCPCS 33975

Insertion of ventricular assist device; extracorporeal, single ventricle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.83 / $1,297.83 / $1,297.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.35 / $2,059.89 / $3,452.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,934.00 / $2,926.14 / $3,974.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.22 / $2,174.84 / $2,479.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00