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South Dakota rates for HCPCS 43101

Exc Lesion Esophagus W/Prim Rpr Thrc/Abdl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.64 / $892.64 / $892.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.51 / $936.63 / $1,030.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.54 / $2,130.06 / $2,662.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.10 / $1,619.02 / $2,773.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.21 / $1,942.89 / $7,212.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,586.19 / $2,244.40 / $3,099.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.00 / $2,186.30 / $2,673.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.20 / $1,704.47 / $1,943.29
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
$1,120.82 / $1,822.61 / $2,692.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.80 / $2,358.69 / $2,358.69