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South Dakota rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Facilitymedian $4,365 · 10th–90th $3,890–$10,7150%20%40%10th90th$4,365Professionalmedian $5,623 · 10th–90th $4,365–$11,2200%10%10th90th$5,623$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,011.87 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,471.29 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,456.54 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $7,585.78 / $35,481.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,964.78 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,943.28 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,585.78 / $12,589.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,481.54 / $11,481.54