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South Dakota rates for HCPCS 45505

Proctoplasty; for prolapse of mucous membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.66 / $566.66 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.65 / $863.25 / $1,658.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.68 / $1,478.92 / $3,285.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.84 / $995.62 / $1,181.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00