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South Dakota rates for HCPCS 43130

Diverticulectomy Hypopharynx/Esoph Crv Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.48 / $738.48 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.79 / $1,311.22 / $2,217.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.06 / $1,946.46 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.50 / $1,323.44 / $1,549.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00