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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
$1,288.25 / $1,288.25 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,467.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26