go back

South Dakota rates for HCPCS 43825

Gastrojejunostomy W/Vagotomy Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.71 / $1,174.71 / $1,174.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.25 / $1,174.71 / $1,281.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.31 / $2,807.88 / $3,509.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.60 / $1,985.26 / $3,409.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.16 / $2,473.54 / $9,470.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.89 / $2,925.60 / $4,086.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.00 / $2,883.53 / $3,520.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.42 / $2,200.12 / $2,563.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.45 / $2,266.29 / $3,525.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.60 / $3,111.00 / $3,111.00