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South Dakota rates for HCPCS 45126

Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), or any combination thereof

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.17 / $2,501.17 / $2,501.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.06 / $2,501.17 / $2,746.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,341.46 / $5,971.80 / $7,464.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,627.86 / $4,226.97 / $7,276.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,261.56 / $5,351.94 / $21,347.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.74 / $6,374.26 / $8,424.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,193.00 / $5,924.99 / $7,251.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,275.49 / $4,558.05 / $5,266.41
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
$3,261.56 / $4,882.95 / $7,595.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,224.50 / $6,392.30 / $6,392.30