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South Dakota rates for HCPCS 43659

Unlisted Laparoscopy Procedure Stomach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,511.00 / $3,511.00 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.48 / $2,638.80 / $2,638.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.42 / $2,963.70 / $3,704.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,900.00 / $4,085.00 / $4,500.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $3,360.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00