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South Dakota rates for HCPCS 49610

Rpr Omphalocele Gross Typ Opration 1st Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.80 / $628.80 / $628.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.88 / $628.80 / $677.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.55 / $1,508.34 / $1,885.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.18 / $1,062.69 / $1,900.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.04 / $1,283.40 / $9,818.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.93 / $1,541.54 / $2,170.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.93 / $1,486.66 / $1,869.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.94 / $1,152.85 / $1,366.25
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
$751.95 / $1,283.40 / $1,864.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.40 / $1,658.30 / $1,658.30