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South Dakota rates for HCPCS 33988

Insert Left Heart Vent By Thoracic Inc Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.60 / $774.60 / $774.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.26 / $774.60 / $774.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.74 / $1,587.03 / $1,983.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.13 / $1,207.09 / $2,048.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.40 / $1,489.00 / $5,451.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.97 / $1,808.91 / $2,372.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.90 / $1,741.52 / $2,372.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.35 / $1,286.30 / $1,466.52
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
$893.40 / $1,489.00 / $2,064.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.70 / $1,779.60 / $1,850.80