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South Dakota rates for HCPCS 48554

Transplantation Pancreatic Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,378.71 / $2,378.71 / $2,378.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.17 / $3,916.82 / $6,655.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.95 / $5,814.36 / $8,085.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.91 / $4,290.58 / $5,168.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$951.00 / $951.00 / $951.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00