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South Dakota rates for HCPCS 49020

Drainage Periton Abscess/Local Peritonitis Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.74 / $1,434.74 / $1,434.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $2,424.71 / $4,160.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.76 / $3,577.85 / $4,948.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.82 / $2,674.14 / $3,105.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$593.64 / $593.64 / $593.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$593.64 / $593.64 / $593.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00