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South Dakota rates for HCPCS 45113

Prctect Prtl W/Mucosec Ileoanal Anast Rsvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.85 / $1,727.85 / $1,727.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.11 / $1,727.85 / $1,878.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,991.16 / $4,114.43 / $5,143.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.05 / $2,920.07 / $5,057.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.16 / $3,619.38 / $13,753.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.17 / $4,376.16 / $5,715.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.00 / $4,039.27 / $4,956.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.12 / $3,149.07 / $3,590.30
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
$2,094.46 / $3,394.29 / $5,209.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,561.70 / $4,357.89 / $4,357.89