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South Dakota rates for HCPCS 47612

Cholecystectomy with exploration of common duct; with choledochoenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.95 / $1,139.95 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.74 / $1,139.95 / $1,248.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.60 / $2,717.50 / $3,396.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.29 / $1,926.52 / $3,308.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.73 / $2,421.71 / $9,184.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.88 / $2,832.33 / $3,973.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.00 / $2,792.57 / $3,416.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.36 / $2,131.65 / $2,482.16
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
$1,509.64 / $2,421.71 / $3,434.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.40 / $3,012.80 / $3,012.80