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South Dakota rates for HCPCS 44625

Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,380.38 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$389.05 / $389.05 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26