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South Dakota rates for HCPCS 47700

Expl Congenital Atresia Bile Ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.42 / $958.42 / $958.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.66 / $958.42 / $1,037.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.38 / $2,286.66 / $2,858.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.42 / $1,619.73 / $2,736.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.33 / $1,995.20 / $7,675.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.14 / $2,362.96 / $3,315.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.00 / $2,329.67 / $2,849.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.21 / $1,766.13 / $2,070.73
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
$1,166.33 / $1,995.20 / $2,857.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.19 / $2,513.40 / $2,513.40