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South Dakota rates for HCPCS 43880

Closure Gastrocolic Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.43 / $1,425.43 / $3,165.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.27 / $2,408.98 / $4,161.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.28 / $3,572.90 / $4,973.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.90 / $2,677.62 / $3,132.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00