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South Dakota rates for HCPCS 49205

Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter

Insurance Carrier
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.91 / $2,812.00 / $3,661.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,148.62 / $2,906.90 / $2,997.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$656.95 / $656.95 / $656.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$656.95 / $656.95 / $656.95