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South Dakota rates for HCPCS 43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.47 / $1,014.47 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.89 / $1,838.28 / $3,098.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.20 / $2,516.00 / $3,517.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.64 / $1,876.95 / $2,203.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00