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South Dakota rates for HCPCS 46275

Surg Tx Anal Fistula Intersphincteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.04 / $544.74 / $544.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.43 / $722.68 / $1,387.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.32 / $1,295.90 / $2,532.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.74 / $835.15 / $1,077.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00