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South Dakota rates for HCPCS 43635

Vagotomy Pfrmd W/Prtl Dstl Gstrct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.97 / $98.97 / $98.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.43 / $98.97 / $109.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.05 / $235.29 / $294.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.76 / $178.86 / $307.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.50 / $214.16 / $2,856.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.03 / $251.22 / $347.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $244.53 / $300.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.18 / $189.73 / $217.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.50 / $203.46 / $301.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.60 / $263.80 / $263.80