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South Dakota rates for HCPCS 44202

Laps Enterect Rescj 1 Small Intest Rescj & Ana

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.05 / $1,246.05 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.27 / $2,105.82 / $3,831.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.03 / $3,112.12 / $4,301.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.88 / $2,326.60 / $2,698.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$516.42 / $516.42 / $516.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$516.42 / $516.42 / $516.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00