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South Dakota rates for HCPCS 47720

Cholecystoenterostomy Direct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.69 / $1,042.69 / $1,042.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.86 / $1,042.69 / $1,133.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.08 / $2,488.44 / $3,110.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.02 / $1,759.12 / $3,002.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.49 / $2,194.04 / $8,361.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.92 / $2,583.31 / $3,610.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.00 / $2,540.00 / $3,106.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.09 / $1,937.87 / $2,257.67
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
$1,206.72 / $2,006.73 / $3,121.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.69 / $2,740.30 / $2,740.30