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South Dakota rates for HCPCS 43135

Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,290.87 / $10,471.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,311.31 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $3,388.44