go back

South Dakota rates for HCPCS 46712

Rpr Ileoanal Pouch Fstl/Pouch Advmnt Cmbn Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.74 / $1,984.74 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.50 / $1,984.74 / $2,181.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,434.08 / $4,723.68 / $5,904.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.98 / $3,354.21 / $5,452.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.64 / $4,099.70 / $17,183.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,252.60 / $4,988.58 / $6,919.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,252.60 / $4,847.85 / $5,941.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.81 / $3,410.80 / $4,309.00
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
$2,368.64 / $3,858.55 / $6,002.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,274.70 / $5,230.20 / $5,230.20