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South Dakota rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.03 / $1,069.03 / $1,069.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.63 / $1,069.03 / $1,154.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.92 / $2,557.01 / $3,196.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.89 / $1,806.66 / $3,070.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.58 / $2,252.32 / $8,612.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.76 / $2,641.08 / $3,713.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.00 / $2,622.24 / $3,177.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.71 / $1,976.74 / $2,330.78
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
$1,238.78 / $2,173.28 / $3,178.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.19 / $2,829.10 / $2,829.10