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South Dakota rates for HCPCS 43116

Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,011.87 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $10,471.29 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,623.41 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $8,317.64 / $35,481.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $11,220.18 / $11,748.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $7,943.28 / $9,549.93
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
$4,466.84 / $8,128.31 / $12,882.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $11,481.54 / $11,481.54