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South Dakota rates for HCPCS 45402

Laparoscopy Proctopexy Prolapse Sigmoid Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.15 / $1,380.15 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.49 / $2,368.17 / $4,027.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.31 / $3,459.64 / $4,659.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.45 / $2,554.04 / $2,929.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00