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South Dakota rates for HCPCS 0653T

Esophagogastroduodenoscopy, flexible, transnasal; with biopsy, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.87 / $355.87 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.94 / $355.87 / $367.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.31 / $616.19 / $927.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.54 / $679.16 / $2,863.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.52 / $881.23 / $2,082.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.49 / $491.49 / $709.11
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
$451.54 / $679.16 / $1,056.47