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Open Biopsy Of The Pancreas

South Dakota rates for HCPCS 48100

Takes a tissue sample from the pancreas during an operation in which the abdomen is open, using a fine needle, a core needle, or by cutting out a small wedge. Sampling the gland directly is done when an abnormality is found and its nature has to be established. The sample goes to a laboratory to be examined under a microscope.

Facilitymedian $1,122 · 10th–90th $794$4,3650%20%10th90th$1,122Professionalmedian $1,479 · 10th–90th $1,000$1,8200%10%20%10th90th$1,479$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$1,995.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26