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South Dakota rates for HCPCS 45305

Proctosgmdsc Rigid W/Bx Single/Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.30 / $178.51 / $178.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.92 / $157.50 / $181.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.33 / $205.73 / $515.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.53 / $178.65 / $500.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.75 / $303.47 / $1,336.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.81 / $347.30 / $1,156.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.29 / $223.78 / $434.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.41 / $213.75 / $344.80
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
$168.40 / $292.97 / $455.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $172.70 / $418.50