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South Dakota rates for HCPCS 45136

Excision of ileoanal reservoir with ileostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,862.09 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,073.80 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,344.23 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,754.23 / $13,182.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,265.80 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,884.03 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,884.03 / $4,786.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,168.69 / $4,168.69