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South Dakota rates for HCPCS 46275

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

Facilitymedian $617 · 10th–90th $398–$3,5480%10%20%10th90th$617Professionalmedian $832 · 10th–90th $575–$1,0960%10%20%10th90th$832$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
$398.11 / $549.54 / $4,365.16
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $691.83 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,047.13 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $5,623.41