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South Dakota rates for HCPCS 47740

Cholecystoenterostomy Roux-En-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.14 / $1,181.14 / $1,181.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.30 / $1,181.14 / $1,288.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.54 / $2,816.45 / $3,520.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.61 / $1,996.13 / $3,417.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.92 / $2,502.98 / $9,488.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.77 / $2,929.98 / $4,102.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.00 / $2,882.79 / $3,527.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.14 / $2,205.34 / $2,562.37
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
$1,376.64 / $2,279.41 / $3,545.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.00 / $3,110.20 / $3,110.20