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South Dakota rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $891.25 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,348.96 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,202.26
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
$575.44 / $933.25 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $1,445.44