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South Dakota rates for HCPCS 49900

Sec Abdominal Wall Suture Evisceration/Dehsn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.08 / $750.08 / $750.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.06 / $1,267.64 / $2,123.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.29 / $1,836.02 / $2,554.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.85 / $1,365.79 / $1,621.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00