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South Dakota rates for HCPCS 49460

Obstructive Material Removal From Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.57 / $709.78 / $709.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.72 / $636.65 / $1,872.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.15 / $1,105.78 / $1,869.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $923.99 / $1,333.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00