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South Dakota rates for HCPCS 49220

Staging Celiotomy (Laparotomy) For Hodgkin'S Disease Or Lymphoma (Includes Splenectomy, Needle Or Open Biopsies Of Bo

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.30 / $2,025.66 / $2,532.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,624.00 / $7,624.00 / $7,624.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.34 / $1,444.34 / $1,934.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.46 / $1,553.00 / $1,934.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.19 / $1,607.89 / $1,658.21