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South Dakota rates for HCPCS 43800

Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.64 / $834.64 / $834.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.89 / $1,410.54 / $2,422.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.30 / $2,085.41 / $2,899.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.74 / $1,560.16 / $1,817.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00