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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
$1,288.25 / $1,288.25 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26