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South Dakota rates for HCPCS 49013

Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $562.34 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26