go back

South Dakota rates for HCPCS 81340

Trb@ Rearrangement Anal Amplification Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.38 / $196.38 / $196.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $162.96 / $196.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.49 / $416.49 / $416.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.94 / $379.28 / $474.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.18 / $236.57 / $383.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.35 / $146.16 / $429.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.58 / $457.87 / $585.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.70 / $425.63 / $585.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.17 / $503.35 / $573.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $146.16 / $208.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.92 / $208.92 / $208.92