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South Dakota rates for HCPCS 49000

Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.38 / $695.38 / $695.38
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$347.69 / $347.69 / $347.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.29 / $1,175.19 / $2,130.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.38 / $1,730.80 / $2,390.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.06 / $1,292.10 / $1,504.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$287.23 / $287.23 / $287.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$287.23 / $287.23 / $287.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00