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South Dakota rates for HCPCS 48520

Int Anast Pancreatic Cyst Gi Tract Direct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.34 / $987.34 / $987.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.22 / $987.34 / $1,676.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.66 / $2,354.44 / $2,943.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.30 / $1,668.60 / $2,854.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.44 / $2,090.54 / $7,944.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.68 / $2,445.76 / $3,435.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.00 / $2,415.56 / $2,955.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.97 / $1,836.33 / $2,147.06
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
$1,149.80 / $2,090.54 / $2,949.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.00 / $2,606.10 / $2,606.10