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South Dakota rates for HCPCS 44203

Laparoscopy, surgical; each additional small intestine 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $346.74 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $537.03 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84