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South Dakota rates for HCPCS 44604

Sutr Lg Intestine 1/Mult Perforat W/O Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.66 / $946.66 / $946.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.45 / $1,599.86 / $2,768.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.85 / $2,380.12 / $3,266.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.07 / $1,778.31 / $2,048.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$395.20 / $395.20 / $395.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$395.20 / $395.20 / $395.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00