go back

South Dakota rates for HCPCS 43117

Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $6,918.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,244.36 / $7,762.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $4,365.16 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26