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South Dakota rates for HCPCS 43631

Gstrct Prtl Dstl W/Gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.73 / $1,296.73 / $1,296.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.51 / $2,191.46 / $3,781.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.03 / $3,250.20 / $4,506.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.40 / $2,436.26 / $2,831.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$541.65 / $541.65 / $541.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00