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South Dakota rates for HCPCS 43191

Esophagoscopy Rigid Transoral Diagnostic Brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.10 / $145.10 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.47 / $245.22 / $436.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.17 / $382.25 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.93 / $258.45 / $304.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00