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South Dakota rates for HCPCS 43030

Cricopharyngeal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.55 / $494.55 / $494.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.12 / $893.74 / $1,465.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.14 / $1,298.60 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.62 / $874.89 / $1,029.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00