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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
$292.20 / $292.20 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.66 / $285.99 / $292.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.89 / $470.04 / $617.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.84 / $529.20 / $2,229.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.94 / $686.18 / $2,082.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.68 / $382.68 / $552.16
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
$351.84 / $498.44 / $823.20