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South Dakota rates for HCPCS 49014

Reexpl Pel Wnd W/Rmvl Preperitoneal Pel Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.24 / $334.24 / $334.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.99 / $334.24 / $334.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.70 / $805.78 / $997.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.62 / $512.04 / $1,036.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.19 / $704.00 / $2,711.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $899.11 / $1,175.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.60 / $831.01 / $1,080.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.55 / $645.13 / $735.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.83 / $635.11 / $987.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.70 / $858.40 / $892.80