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South Dakota rates for HCPCS 44203

Laparoscopy Small Intestine Rescj & Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.91 / $212.91 / $212.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.38 / $379.63 / $661.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.20 / $540.04 / $741.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.20 / $405.69 / $462.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00