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South Dakota rates for HCPCS 48120

Excision of lesion of pancreas (eg, cyst, adenoma)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.55 / $999.55 / $999.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.57 / $999.55 / $1,085.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.18 / $2,384.05 / $2,980.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.16 / $1,689.24 / $2,885.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.36 / $2,114.88 / $8,046.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.82 / $2,481.96 / $3,433.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.00 / $2,446.85 / $2,982.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.41 / $1,857.80 / $2,174.88
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
$1,163.18 / $2,037.65 / $2,989.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.60 / $2,639.80 / $2,639.80