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South Dakota rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,324.80 / $3,324.80 / $3,324.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,013.61 / $3,324.80 / $3,691.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,743.86 / $7,900.85 / $9,876.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.61 / $5,093.00 / $10,031.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,038.22 / $7,342.22 / $27,015.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.63 / $8,504.33 / $11,660.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,910.56 / $8,192.81 / $10,046.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,180.30 / $6,387.22 / $7,282.15
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
$4,038.22 / $6,554.27 / $10,147.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,224.20 / $8,839.00 / $8,839.00