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South Dakota rates for HCPCS 49422

Removal of tunneled intraperitoneal catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.17 / $916.48 / $2,425.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.57 / $346.86 / $381.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.27 / $466.68 / $583.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.46 / $389.16 / $992.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.05 / $570.41 / $2,287.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.61 / $633.00 / $3,733.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.28 / $567.97 / $732.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.27 / $426.31 / $637.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.14 / $469.35 / $764.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.90 / $517.40 / $517.40