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South Dakota rates for HCPCS 38100

Splenectomy; total (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $2,754.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $2,238.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$446.68 / $446.68 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26