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South Dakota rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Facilitymedian $2,344 · 10th–90th $1,905–$4,6770%20%10th90th$2,344Professionalmedian $2,512 · 10th–90th $1,862–$4,7860%10%20%10th90th$2,512$1.0K$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
$1,905.46 / $1,905.46 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,187.76 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,570.88 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,818.38 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,235.94 / $15,135.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,786.30 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,235.94 / $5,495.41
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,011.87 / $5,011.87