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South Dakota rates for HCPCS 49999

Unlisted Procedure Abdomen Peritoneum & Omentum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.00 / $2,290.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00