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South Dakota rates for HCPCS 44604

Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,398.83 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $2,041.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$407.38 / $407.38 / $407.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$407.38 / $407.38 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26