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South Dakota rates for HCPCS 45390

Colonoscopy, flexible; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.30 / $2,557.41 / $3,577.50
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$153.15 / $153.15 / $153.15
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$61.26 / $61.26 / $61.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.30 / $472.50 / $1,327.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.28 / $730.80 / $913.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.64 / $553.70 / $935.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.91 / $640.14 / $2,445.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.82 / $869.14 / $3,285.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.82 / $784.09 / $910.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.48 / $538.90 / $633.96
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
$399.91 / $645.46 / $928.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.90 / $769.50 / $769.50