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South Dakota rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.19 / $1,206.19 / $1,206.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.01 / $2,038.46 / $3,512.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.22 / $3,017.94 / $4,201.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.30 / $2,262.78 / $2,625.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00