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South Dakota rates for HCPCS 44128

Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $354.81 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $467.74
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
$234.42 / $371.54 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $575.44