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South Dakota rates for HCPCS 49446

Convert Gastrostomy-Gastro-Jejunostomy Tube Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.38 / $801.27 / $801.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.61 / $690.46 / $2,282.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.21 / $1,522.92 / $2,222.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.46 / $1,122.25 / $1,650.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00