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South Dakota rates for HCPCS 49250

Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.54 / $543.54 / $543.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.66 / $918.58 / $1,620.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.34 / $1,443.36 / $3,960.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.43 / $979.38 / $1,172.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00