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South Dakota rates for HCPCS 43100

Exc Lesion Esophogus W/Prim Rpr Cervical Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.08 / $603.08 / $603.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.29 / $603.08 / $625.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.97 / $1,442.89 / $1,803.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.65 / $1,088.59 / $1,775.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.00 / $1,202.44 / $4,761.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.03 / $1,439.12 / $1,962.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.00 / $1,403.19 / $1,678.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.70 / $1,054.22 / $1,247.22
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
$675.59 / $1,185.33 / $1,736.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.30 / $1,513.90 / $1,513.90