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South Dakota rates for HCPCS 47420

Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.95 / $1,197.95 / $1,197.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.11 / $2,024.54 / $3,495.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.12 / $3,006.45 / $4,152.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.82 / $2,252.34 / $2,601.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00