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South Dakota rates for HCPCS 0647T

Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.13 / $838.13 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.04 / $838.13 / $866.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.82 / $1,416.44 / $1,732.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.76 / $1,598.49 / $6,755.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.29 / $1,455.69 / $2,082.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.40 / $1,159.40 / $1,672.80
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
$974.19 / $1,771.26 / $2,486.54