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South Dakota rates for HCPCS 48020

Removal Pancreatic Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.33 / $1,061.33 / $1,061.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.64 / $1,061.33 / $1,154.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.07 / $2,535.19 / $3,168.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.01 / $1,732.47 / $3,065.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.27 / $2,223.82 / $8,531.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.55 / $2,636.32 / $3,682.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.00 / $2,595.33 / $3,170.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.26 / $1,977.90 / $2,306.85
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
$1,232.27 / $2,223.82 / $3,178.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.50 / $2,800.00 / $2,800.00