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South Dakota rates for HCPCS 43848

Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,365.16 / $4,677.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,162.28 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26