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South Dakota rates for HCPCS 43860

Revj Gstr/Jj Anast W/Rcnstj W/O Vgtmy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.40 / $1,464.40 / $1,464.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.18 / $2,474.84 / $4,272.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,439.21 / $3,669.85 / $5,086.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.32 / $2,750.15 / $3,189.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00