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South Dakota rates for HCPCS 43855

Revj Gastroduol Anast W/Rcnstj W/Vgtmy

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,879.49 / $3,558.15 / $4,447.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,423.81 / $8,423.81 / $8,423.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.63 / $2,540.63 / $3,414.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.36 / $2,540.63 / $3,414.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.68 / $2,522.91 / $2,889.33