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South Dakota rates for HCPCS 45500

Proctoplasty Stenosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.41 / $524.41 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.54 / $524.41 / $555.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.00 / $1,261.35 / $1,576.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.30 / $807.58 / $1,482.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.04 / $1,034.64 / $4,155.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.46 / $1,377.03 / $3,285.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.00 / $1,252.14 / $1,537.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.44 / $878.42 / $1,124.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.04 / $1,034.64 / $1,534.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.40 / $1,364.70 / $1,364.70