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South Dakota rates for HCPCS 48001

Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,049.00 / $2,049.00 / $2,049.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.74 / $2,049.00 / $2,253.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.50 / $4,881.06 / $6,101.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,191.91 / $3,462.81 / $6,022.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.48 / $4,395.80 / $16,558.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,435.92 / $5,151.37 / $7,174.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,345.00 / $5,040.00 / $6,168.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,522.87 / $3,885.02 / $4,479.78
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
$2,417.69 / $3,983.51 / $6,196.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,444.10 / $5,437.50 / $5,437.50