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South Dakota rates for HCPCS 47490

Cholecystostomy Prq W/Imaging & Catheter Plmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.81 / $315.81 / $315.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.83 / $618.91 / $944.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.05 / $812.75 / $1,016.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.75 / $558.15 / $638.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00