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South Dakota rates for HCPCS 49002

Reopening Recent Laparotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.94 / $935.94 / $935.94
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$467.97 / $467.97 / $467.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.56 / $1,432.92 / $2,732.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.55 / $2,349.55 / $3,239.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.78 / $1,756.27 / $2,032.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$390.44 / $390.44 / $390.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$390.44 / $390.44 / $390.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00