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South Dakota rates for HCPCS 43113

Tot Esophg W/Thorcom W/Colon Ntrpstj/Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,783.35 / $3,783.35 / $3,783.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,428.41 / $3,783.35 / $4,216.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,528.89 / $8,980.69 / $11,225.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,428.41 / $5,794.01 / $11,467.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,547.64 / $8,268.44 / $30,776.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,490.59 / $9,731.08 / $13,301.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,431.85 / $9,333.99 / $11,455.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,771.82 / $7,276.91 / $8,296.49
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
$4,961.06 / $8,681.86 / $11,584.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,230.40 / $10,070.20 / $10,070.20