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South Dakota rates for HCPCS 38101

Splenectomy Partial Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.30 / $1,125.30 / $1,125.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.97 / $1,125.30 / $1,137.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.12 / $2,482.98 / $3,103.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.22 / $1,649.58 / $3,034.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.17 / $2,208.00 / $9,902.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.21 / $2,596.44 / $3,622.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.00 / $2,555.30 / $3,120.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.83 / $1,957.59 / $2,271.27
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
$1,281.17 / $2,011.48 / $3,128.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.50 / $2,708.30 / $2,708.30