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South Dakota rates for HCPCS 48540

Int Anast Pancreatic Cyst Gi Tract Roux-En-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.77 / $1,168.77 / $1,168.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.89 / $1,168.77 / $1,281.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.58 / $2,787.62 / $3,484.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.78 / $1,975.22 / $3,414.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.24 / $2,498.84 / $9,422.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.14 / $2,925.94 / $4,076.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.00 / $2,868.26 / $3,506.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.31 / $2,203.02 / $2,549.42
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
$1,465.24 / $2,740.23 / $3,523.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.10 / $3,094.50 / $3,094.50