go back

South Dakota rates for HCPCS 45825

Closure Rectourethral Fistula W/Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.96 / $1,385.96 / $1,385.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.58 / $1,385.96 / $1,505.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.80 / $3,306.50 / $4,133.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.56 / $2,325.62 / $3,861.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.50 / $2,831.00 / $11,094.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.64 / $3,429.67 / $4,804.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.00 / $3,266.21 / $4,126.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.21 / $2,425.23 / $2,997.73
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
$1,636.50 / $2,831.00 / $4,146.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,973.90 / $3,638.60 / $3,638.60