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South Dakota rates for HCPCS 43641

Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,819.70 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $2,884.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,949.84 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $3,090.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $2,884.03