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South Dakota rates for HCPCS 44137

Rmvl Trnspled Intestinal Allograft Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.91 / $1,089.91 / $1,089.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.50 / $1,089.91 / $1,108.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.54 / $2,372.53 / $2,466.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.36 / $1,660.43 / $3,285.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.23 / $1,929.00 / $8,606.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.28 / $2,727.62 / $3,473.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.00 / $2,528.50 / $3,473.67
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
$1,184.18 / $2,153.06 / $2,844.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,910.30 / $3,560.90 / $3,560.90