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South Dakota rates for HCPCS 49040

Drainage of subdiaphragmatic or subphrenic abscess, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,238.72 / $2,398.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,621.81 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26