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South Dakota rates for HCPCS 48154

Pncrtect Prox Stot W/O Pancreatojejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,584.07 / $2,584.07 / $2,584.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.03 / $2,584.07 / $2,839.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.06 / $6,143.20 / $7,679.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.45 / $4,367.08 / $7,556.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,261.92 / $5,497.42 / $20,821.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,293.43 / $6,493.74 / $9,034.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,224.00 / $6,326.01 / $7,758.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.70 / $4,875.42 / $5,622.85
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
$3,046.68 / $5,278.38 / $7,808.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,578.10 / $6,825.00 / $6,825.00