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South Dakota rates for HCPCS 47801

Placement Choledochal Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.29 / $1,007.29 / $1,007.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.96 / $1,702.32 / $2,679.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.54 / $2,494.48 / $3,487.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.22 / $1,683.16 / $2,161.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00