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South Dakota rates for HCPCS 44650

Closure of enteroenteric or enterocolic fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.24 / $1,294.24 / $1,294.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.41 / $2,187.27 / $3,803.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,170.94 / $3,261.35 / $4,462.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.53 / $2,440.32 / $2,784.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00