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South Dakota rates for HCPCS 43772

Laps Gastric Restrictive Px Remove Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.87 / $852.87 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.59 / $1,545.98 / $2,620.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.62 / $2,127.02 / $2,960.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.11 / $1,596.71 / $1,860.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00