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South Dakota rates for HCPCS 49610

Repair of omphalocele (Gross type operation); first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $933.25 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $9,772.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,380.38
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
$660.69 / $1,096.48 / $1,778.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $1,659.59