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South Dakota rates for HCPCS 43647

Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.53 / $569.53 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.98 / $569.53 / $584.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.62 / $2,870.20 / $3,587.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.98 / $856.80 / $2,705.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.49 / $911.04 / $4,750.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.73 / $1,574.69 / $1,918.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.11 / $1,579.18 / $2,813.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.49 / $847.48 / $1,465.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,102.90 / $3,796.40 / $3,796.40