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South Dakota rates for HCPCS 47425

Choledochot/Ost W/Sphnctrotomy/Sphnctrop

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.45 / $1,227.45 / $1,227.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.16 / $1,227.45 / $1,339.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.27 / $2,924.74 / $3,655.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.99 / $2,074.39 / $3,558.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.40 / $2,504.00 / $9,867.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.34 / $3,060.76 / $4,266.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.34 / $2,997.07 / $3,670.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.84 / $2,285.19 / $2,663.93
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
$1,395.84 / $2,370.48 / $3,687.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,642.70 / $3,233.50 / $3,233.50