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South Dakota rates for HCPCS 48547

Duol Exclusion W/Gastrojejunostomy Pncrtc Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.10 / $1,598.10 / $1,598.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.55 / $1,598.10 / $1,752.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,770.26 / $3,810.58 / $4,763.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.94 / $2,700.79 / $4,674.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.87 / $3,411.10 / $12,896.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.62 / $4,005.85 / $5,579.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.00 / $3,925.01 / $4,801.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.16 / $3,015.88 / $3,488.73
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
$1,700.69 / $3,097.98 / $4,819.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,461.00 / $4,234.60 / $4,234.60