go back

South Dakota rates for HCPCS 49450

Replace Gastrostomy/Cecostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $602.54 / $602.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $516.29 / $968.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $670.46 / $1,678.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.34 / $516.29 / $1,705.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.75 / $1,350.22 / $4,312.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.52 / $1,001.21 / $1,666.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $1,234.34 / $1,628.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.68 / $813.92 / $1,100.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.38 / $1,213.74 / $1,888.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $152.30 / $1,331.70