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South Dakota rates for HCPCS 46716

Rpr Lw Imperforate Anus W/Trpos Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.03 / $1,128.03 / $1,128.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.47 / $1,128.03 / $1,200.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.04 / $2,716.72 / $3,395.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.00 / $1,726.28 / $2,887.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.65 / $2,192.08 / $8,989.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.18 / $2,717.45 / $3,852.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.00 / $2,531.57 / $3,320.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.33 / $1,815.71 / $2,433.64
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
$1,254.55 / $2,192.08 / $3,309.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.30 / $2,953.90 / $2,953.90