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South Dakota rates for HCPCS 43882

Revision or removal of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,949.84 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $1,862.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,073.80 / $4,073.80