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South Dakota rates for HCPCS 47554

Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.47 / $407.47 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.44 / $732.06 / $1,292.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.38 / $1,241.54 / $11,505.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.60 / $766.29 / $857.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00