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South Dakota rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $831.76 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $1,445.44