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South Dakota rates for HCPCS 38102

Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.36 / $251.36 / $251.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.23 / $422.07 / $686.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.33 / $614.98 / $805.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.58 / $440.95 / $505.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00