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South Dakota rates for HCPCS 45397

Laps Proctectomy Combined Pull-Thru W/Reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.95 / $1,947.95 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.01 / $3,292.04 / $5,716.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,285.05 / $4,919.93 / $6,535.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.52 / $3,585.97 / $4,088.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00