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South Dakota rates for HCPCS 49203

Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less

Insurance Carrier
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,513.56 / $2,041.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$457.09 / $457.09 / $457.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$457.09 / $457.09 / $457.09