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South Dakota rates for HCPCS 33977

Removal of ventricular assist device; extracorporeal, single ventricle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.82 / $1,128.82 / $1,128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.19 / $1,907.71 / $2,976.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,152.00 / $2,636.72 / $3,419.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.02 / $1,878.09 / $2,141.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00