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South Dakota rates for HCPCS 43112

Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,244.36 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,168.69 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,786.30 / $24,547.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $7,762.47 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,677.35 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $5,128.61 / $8,128.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $7,943.28 / $7,943.28