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South Dakota rates for HCPCS 46270

Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous

Facilitymedian $2,399 · 10th–90th $380$5,3700%20%10th90th$2,399Professionalmedian $794 · 10th–90th $537$1,0470%10%10th90th$794$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $3,019.95 / $5,370.32
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $645.65 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $977.24 / $1,174.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $776.25 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $5,623.41