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South Dakota rates for HCPCS 47460

Transduol Sphincterot/Plasty W/Wo Rmvl Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.34 / $1,141.34 / $1,141.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.36 / $1,141.34 / $1,244.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,979.00 / $2,722.18 / $3,402.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.83 / $1,928.88 / $3,300.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.83 / $2,405.10 / $9,168.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.06 / $2,837.59 / $3,964.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.00 / $2,786.74 / $3,409.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.23 / $2,129.91 / $2,476.98
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
$1,423.27 / $2,202.84 / $3,426.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,457.30 / $3,006.50 / $3,006.50