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South Dakota rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Facilitymedian $2,630 · 10th–90th $2,042–$5,0120%20%10th90th$2,630Professionalmedian $3,802 · 10th–90th $2,570–$4,6770%10%20%10th90th$3,802$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,090.30 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,128.61 / $5,128.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,630.78 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26