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South Dakota rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.72 / $6,577.71 / $34,437.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.04 / $2,809.96 / $4,780.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.88 / $3,880.34 / $5,401.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.77 / $2,909.12 / $3,386.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$646.53 / $646.53 / $646.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$646.53 / $646.53 / $646.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00