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South Dakota rates for HCPCS 51960

Enterocystoplasty, including intestinal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.61 / $1,304.61 / $1,304.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.41 / $1,304.61 / $3,982.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.35 / $3,083.68 / $3,854.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.84 / $2,204.81 / $3,713.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.08 / $2,751.80 / $12,420.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,157.37 / $3,412.35 / $4,214.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.00 / $3,012.35 / $3,654.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.04 / $2,312.67 / $2,677.52
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
$1,651.08 / $2,739.56 / $3,855.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,656.20 / $3,124.90 / $3,249.90