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South Dakota rates for HCPCS 38120

Laparoscopic Surgical Splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.09 / $15,653.61 / $15,653.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.04 / $1,710.06 / $2,744.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.29 / $2,359.48 / $3,285.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.98 / $1,766.71 / $2,072.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00