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South Dakota rates for HCPCS 49451

Replace Duodenostomy/Jejunostomy Tube Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $642.99 / $642.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.53 / $551.23 / $1,857.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.64 / $1,094.58 / $1,790.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.97 / $884.40 / $1,200.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00