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South Dakota rates for HCPCS 77333

Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)

Facilitymedian $40 · 10th–90th $40$400%50%100%$40Professionalmedian $95 · 10th–90th $38$2630%5%10th90th$95$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $123.03 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $39.81 / $75.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $87.10 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $95.50 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $234.42 / $295.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $131.83 / $245.47
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $50.12 / $109.65
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $75.86 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $199.53 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $77.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $154.88 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $181.97 / $309.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $61.66 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $117.49 / $223.87
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $295.12 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $87.10 / $87.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $208.93 / $208.93