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South Dakota rates for HCPCS 43108

Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,862.35 / $3,862.35 / $3,862.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,498.25 / $3,862.35 / $4,315.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,655.20 / $9,154.43 / $11,443.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,498.25 / $5,912.04 / $12,270.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,878.42 / $8,650.84 / $31,438.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,947.65 / $9,962.74 / $13,612.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,792.43 / $9,533.41 / $11,712.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,916.31 / $7,432.37 / $8,473.74
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
$3,974.71 / $7,620.14 / $11,853.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,406.29 / $10,285.29 / $10,285.29