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South Dakota rates for HCPCS 44136

Intestinal Allotransplantation Living Donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,135.99 / $3,135.99 / $3,135.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,135.99 / $3,135.99 / $7,549.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,277.87 / $7,549.01 / $15,098.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,203.06 / $7,203.06 / $7,203.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,540.94 / $7,203.06 / $8,983.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,419.40 / $7,854.40 / $7,854.40