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South Dakota rates for HCPCS 46742

Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,251.65 / $2,251.65 / $2,251.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.89 / $2,251.65 / $3,838.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,917.22 / $5,388.26 / $6,735.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.12 / $3,805.29 / $6,058.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.30 / $4,853.85 / $18,098.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.10 / $5,568.06 / $7,802.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,497.00 / $5,507.96 / $6,719.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,758.40 / $3,792.47 / $4,895.74
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
$2,790.30 / $4,549.95 / $6,722.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.80 / $5,942.40 / $5,942.40