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South Dakota rates for HCPCS 43197

Esophagoscopy Flexible Transnasal Diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.20 / $187.08 / $187.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $165.07 / $194.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.55 / $238.07 / $556.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.52 / $222.20 / $489.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.03 / $375.02 / $1,408.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.36 / $305.57 / $497.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.31 / $352.38 / $497.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.72 / $260.33 / $365.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.26 / $348.32 / $541.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.19 / $192.40 / $453.10