go back

South Dakota rates for HCPCS 45130

Exc Rct Procidentia W/Anast Perineal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.94 / $996.94 / $996.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.34 / $1,684.83 / $2,886.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.74 / $2,489.54 / $3,331.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.02 / $1,827.05 / $2,103.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$404.98 / $404.98 / $404.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$404.98 / $404.98 / $404.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00