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South Dakota rates for HCPCS 43500

Gastrotomy W/Exploration/Foreign Body Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.69 / $708.69 / $708.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.55 / $1,197.69 / $2,047.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.23 / $1,762.12 / $2,449.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.95 / $1,315.89 / $1,543.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00