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South Dakota rates for HCPCS 43882

Revision/Rmvl Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.63 / $741.63 / $741.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.49 / $741.63 / $754.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.84 / $3,301.05 / $4,126.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.49 / $1,131.44 / $2,235.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.94 / $1,627.97 / $5,864.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.94 / $2,008.70 / $2,353.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.37 / $2,038.18 / $3,331.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.45 / $1,294.90 / $1,850.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,317.20 / $4,058.70 / $4,058.70