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South Dakota rates for HCPCS 44620

Closure Enterostomy Lg/Small Intestine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.80 / $784.80 / $784.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.74 / $1,319.51 / $2,277.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.47 / $1,959.08 / $2,674.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.70 / $1,458.62 / $1,680.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$323.52 / $323.52 / $323.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$323.52 / $323.52 / $323.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00