go back

South Dakota rates for HCPCS 47630

Surgery-Digestive System

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.77 / $1,153.84 / $1,442.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.14 / $782.23 / $1,143.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,562.42 / $2,562.42 / $2,562.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.00 / $955.00 / $955.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.00 / $874.00 / $1,111.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.09 / $896.99 / $911.99