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South Dakota rates for HCPCS 43196

Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.52 / $182.52 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.91 / $308.45 / $554.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.26 / $509.80 / $2,082.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.99 / $331.29 / $382.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $3,793.98