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South Dakota rates for HCPCS 46746

Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.10 / $3,473.10 / $3,473.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,144.14 / $3,473.10 / $3,803.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,027.63 / $8,291.18 / $10,363.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,693.30 / $5,869.54 / $9,378.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,204.60 / $7,069.18 / $28,880.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,541.78 / $8,693.21 / $12,115.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,541.78 / $8,339.26 / $10,424.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,219.43 / $5,920.38 / $7,582.31
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
$4,068.53 / $6,722.46 / $10,457.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,522.00 / $9,203.29 / $9,203.29