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South Dakota rates for HCPCS 45563

Expl Rpr & Presacral Drg Rectal Inj W/Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.07 / $1,492.07 / $1,492.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.50 / $1,492.07 / $1,623.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,587.32 / $3,558.93 / $4,448.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.25 / $2,521.60 / $4,292.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.13 / $3,145.54 / $11,955.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.82 / $3,693.79 / $5,176.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.00 / $3,636.07 / $4,449.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.29 / $2,769.87 / $3,231.91
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
$1,730.05 / $3,049.88 / $4,471.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,206.20 / $3,922.90 / $3,922.90