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South Dakota rates for HCPCS 43192

Esophagoscopy Rigid Transoral Inj Submucosal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.40 / $158.40 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.76 / $267.70 / $480.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.87 / $418.27 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.04 / $286.62 / $330.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00