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South Dakota rates for HCPCS 43846

Gastric Rstcv W/Byp W/Short Limb 150 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.14 / $1,479.14 / $1,479.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.70 / $1,479.14 / $1,590.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.62 / $3,533.22 / $4,416.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.51 / $2,499.75 / $4,206.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.55 / $3,087.86 / $13,253.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.44 / $3,637.78 / $5,146.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,358.00 / $3,628.06 / $4,431.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.68 / $2,708.37 / $3,224.80
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
$1,698.32 / $2,813.71 / $4,376.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.10 / $3,914.20 / $3,914.20