go back

South Dakota rates for HCPCS 47701

Portoeneterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.10 / $1,555.10 / $1,555.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.88 / $1,555.10 / $1,700.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.40 / $3,700.73 / $4,625.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.36 / $2,628.12 / $4,519.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.48 / $3,285.94 / $12,510.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,564.64 / $3,861.29 / $5,418.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.64 / $3,800.54 / $4,657.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.21 / $2,916.09 / $3,378.11
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
$1,955.48 / $3,008.68 / $4,680.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,351.20 / $4,100.30 / $4,100.30