go back

South Dakota rates for HCPCS 48000

Place Drain Peripancreatic Acute Pancreatitis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.66 / $1,677.66 / $1,677.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.74 / $1,677.66 / $1,841.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,907.33 / $3,999.12 / $4,998.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $2,835.25 / $4,899.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.02 / $3,566.60 / $13,541.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,787.08 / $4,212.64 / $5,861.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,681.00 / $4,120.79 / $5,040.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.53 / $3,160.35 / $3,662.75
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
$1,961.63 / $3,532.75 / $5,063.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,633.60 / $4,445.80 / $4,445.80