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South Dakota rates for HCPCS 49606

Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $2,951.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,691.53 / $2,691.53