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South Dakota rates for HCPCS 43116

Prtl Esophagectomy Cervical W/Free Intstinal Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,315.93 / $4,315.93 / $4,315.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,908.72 / $4,315.93 / $4,827.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,434.57 / $10,226.46 / $12,783.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.39 / $6,605.74 / $13,982.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,528.80 / $9,685.04 / $35,138.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,088.14 / $11,151.18 / $15,219.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,562.82 / $10,654.94 / $13,094.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,510.79 / $8,306.74 / $9,470.62
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
$6,303.62 / $10,216.44 / $13,258.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,395.20 / $11,495.30 / $11,495.30