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South Dakota rates for HCPCS 43135

Diverticulectomy Hypopharynx/Esoph Thrc Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.58 / $1,290.58 / $1,290.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.27 / $1,290.58 / $1,427.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.32 / $3,071.99 / $3,839.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.04 / $1,977.76 / $3,906.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.13 / $2,832.96 / $10,471.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.83 / $3,286.49 / $4,512.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.00 / $3,176.10 / $3,890.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.25 / $2,476.13 / $2,823.07
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
$1,558.13 / $2,523.73 / $3,925.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.60 / $3,426.60 / $3,426.60