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South Dakota rates for HCPCS 0652T

Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $407.38 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $794.33