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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
$3,045.38 / $3,045.38 / $3,045.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.50 / $3,045.38 / $3,385.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,162.17 / $7,100.72 / $8,875.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,089.01 / $4,741.38 / $7,513.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,082.61 / $5,984.14 / $24,628.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.60 / $7,645.87 / $10,646.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,021.60 / $6,650.50 / $9,182.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,366.80 / $4,816.31 / $6,544.04
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
$3,106.57 / $5,658.91 / $9,308.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,491.90 / $7,943.10 / $7,943.10