go back

South Dakota rates for HCPCS 47741

Cholecstontrstm Roux-En-Y W/Gastrontrstm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.97 / $1,323.97 / $1,323.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.77 / $1,323.97 / $1,446.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.48 / $3,156.13 / $3,945.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.38 / $2,237.51 / $3,844.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.32 / $2,776.66 / $10,649.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.39 / $3,302.58 / $4,607.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.00 / $3,237.23 / $3,960.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.08 / $2,480.36 / $2,877.41
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
$1,399.91 / $2,558.84 / $3,980.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,854.50 / $3,492.60 / $3,492.60