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South Dakota rates for HCPCS 45805

Closure of rectovesical fistula; with colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.61 / $1,321.61 / $1,321.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.80 / $1,321.61 / $1,439.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,291.09 / $3,151.46 / $3,939.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.78 / $2,233.52 / $3,687.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.00 / $2,772.50 / $10,590.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.48 / $3,282.95 / $4,586.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.00 / $3,219.77 / $3,940.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.72 / $2,315.00 / $2,861.89
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
$1,524.88 / $2,549.03 / $3,965.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.10 / $3,473.70 / $3,473.70