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South Dakota rates for HCPCS 43648

Laps Revision/Rmvl Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.41 / $533.41 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.67 / $533.41 / $547.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.95 / $3,301.05 / $4,126.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.92 / $814.02 / $1,608.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.20 / $1,466.78 / $4,219.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.25 / $1,320.95 / $1,797.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.57 / $1,147.97 / $1,797.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.90 / $1,330.02 / $2,068.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,102.90 / $3,796.40 / $3,796.40