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South Dakota rates for HCPCS 33989

Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $851.14 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $933.25 / $1,318.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,174.90