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South Dakota rates for HCPCS 42953

Pharyngoesophageal Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.20 / $926.20 / $926.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.33 / $1,565.28 / $2,515.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.20 / $2,227.00 / $2,983.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.91 / $1,604.83 / $1,862.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00