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South Dakota rates for HCPCS 43848

Revision Open Gastric Restrictive Px Not Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.87 / $1,728.87 / $1,728.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.12 / $2,921.79 / $5,020.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,867.00 / $4,318.26 / $6,001.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.66 / $3,232.87 / $3,769.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00