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South Dakota rates for HCPCS 51784

Emg Stds Anal/Urtl Sphnctr Oth/Thn Ndl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.96 / $62.96 / $62.96
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.15 / $35.15 / $35.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.96 / $230.00 / $253.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.39 / $56.14 / $89.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.80 / $148.65 / $163.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.85 / $148.03 / $185.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.08 / $82.58 / $103.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.78 / $65.44 / $81.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.71 / $100.66 / $496.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $172.95 / $1,317.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.96 / $93.65 / $638.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.02 / $79.30 / $870.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.32 / $138.58 / $195.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.58 / $156.12 / $373.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.66 / $118.00 / $315.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.90 / $66.98 / $128.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.22 / $47.09 / $187.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $128.47 / $195.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.96 / $71.59 / $106.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.02 / $55.92 / $90.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $150.80 / $150.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.00 / $85.60 / $85.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.30 / $65.20 / $65.20