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South Dakota rates for HCPCS 33976

Insj Ventric Assist Dev Xtrcorp Biventricular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.11 / $1,579.11 / $1,579.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.44 / $1,579.11 / $1,579.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,048.58 / $3,232.49 / $4,040.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.37 / $2,461.38 / $4,199.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.87 / $3,075.24 / $18,937.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $3,562.09 / $4,838.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.00 / $3,361.68 / $4,213.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.04 / $2,620.82 / $2,988.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.04 / $2,708.42 / $4,213.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,082.00 / $3,625.90 / $3,771.00