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South Dakota rates for HCPCS 44404

Colonoscopy Stoma W/Submucosal Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.26 / $413.83 / $413.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.32 / $452.00 / $903.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.85 / $968.99 / $1,487.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.97 / $467.06 / $802.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00