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South Dakota rates for HCPCS 43118

Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,154.67 / $3,154.67 / $3,154.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.75 / $3,154.67 / $3,516.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,438.57 / $7,480.92 / $9,351.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.19 / $4,829.60 / $10,002.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,969.57 / $7,038.45 / $25,664.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,651.78 / $8,116.48 / $11,104.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,912.73 / $7,781.60 / $9,556.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,193.35 / $6,066.64 / $6,916.65
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
$3,969.57 / $7,104.88 / $9,662.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,861.60 / $8,395.40 / $8,395.40