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South Dakota rates for HCPCS 48552

Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $338.84 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $524.81 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $363.08 / $602.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $549.54