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South Dakota rates for HCPCS 43632

Gastrectomy, partial, distal; with gastrojejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,570.88 / $4,897.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,311.31 / $3,981.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$776.25 / $776.25 / $776.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$776.25 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26