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South Dakota rates for HCPCS 49606

Rpr Lg Omphalocele/Gastroschisis Rmvl Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.86 / $1,016.86 / $1,016.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.90 / $1,016.86 / $1,108.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.60 / $2,430.01 / $3,037.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.68 / $1,763.42 / $2,949.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.72 / $2,157.42 / $8,199.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.91 / $2,534.11 / $3,539.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.91 / $2,497.79 / $3,049.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.05 / $1,903.06 / $2,220.16
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
$1,284.77 / $1,960.54 / $3,049.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.50 / $2,694.80 / $2,694.80