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South Dakota rates for HCPCS 43195

Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $269.15 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $426.58 / $457.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26