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South Dakota rates for HCPCS 45112

Prctect Cmbn Abdominoprnl Pull-Thru Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.96 / $1,675.96 / $1,675.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.37 / $1,675.96 / $2,410.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,907.33 / $3,999.12 / $4,998.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.24 / $2,832.37 / $4,981.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.76 / $3,602.01 / $13,382.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.30 / $4,267.99 / $5,685.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.00 / $3,933.74 / $4,888.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.08 / $3,066.80 / $3,496.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.51 / $3,276.40 / $5,096.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,468.70 / $4,244.00 / $4,244.00