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South Dakota rates for HCPCS 43870

Closure Gastrostomy Surg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.14 / $644.14 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.60 / $1,068.94 / $1,971.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.81 / $1,710.69 / $4,408.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.48 / $1,196.36 / $1,386.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00