go back

South Dakota rates for HCPCS 47490

Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $562.34 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $776.25 / $812.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28