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South Dakota rates for HCPCS 0654T

Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.07 / $131.07 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $131.07 / $136.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.41 / $221.51 / $274.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $250.81 / $1,063.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.77 / $327.30 / $4,520.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.53 / $182.53 / $263.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $7,609.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.75 / $264.22 / $390.15