go back

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
$172.62 / $172.62 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.56 / $291.73 / $524.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.63 / $478.39 / $4,408.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.08 / $312.73 / $361.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00