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South Dakota rates for HCPCS 45120

Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.11 / $1,433.11 / $1,433.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.02 / $1,433.11 / $1,560.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.33 / $3,424.14 / $4,280.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.58 / $2,421.96 / $4,144.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.51 / $3,031.38 / $12,046.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.76 / $3,558.20 / $4,982.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.00 / $3,513.08 / $4,291.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.52 / $2,674.14 / $3,122.59
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
$1,687.21 / $2,760.79 / $4,294.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,097.70 / $3,790.20 / $3,790.20