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South Dakota rates for HCPCS 44386

Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.83 / $308.92 / $308.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.78 / $337.12 / $884.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.09 / $662.29 / $1,003.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $407.09 / $588.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00