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South Dakota rates for HCPCS 44126

Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.96 / $2,195.96 / $2,195.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.78 / $2,195.96 / $2,409.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,808.47 / $5,238.67 / $6,548.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,309.31 / $3,711.17 / $6,432.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,672.39 / $4,655.82 / $17,744.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,640.95 / $5,507.84 / $7,676.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,441.00 / $5,403.89 / $6,605.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,669.82 / $4,149.59 / $4,803.22
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
$2,560.69 / $4,655.82 / $6,625.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,765.00 / $5,830.10 / $5,830.10