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South Dakota rates for HCPCS 43200

Esophagoscopy Flexible Transoral Diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $260.72 / $3,812.04
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$40.43 / $40.43 / $130.36
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$16.17 / $16.17 / $52.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.55 / $144.27 / $326.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.41 / $277.25 / $758.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.71 / $251.37 / $696.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.81 / $460.02 / $1,943.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.83 / $517.91 / $903.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $399.00 / $646.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.07 / $314.33 / $503.94
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
$244.56 / $431.88 / $682.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.10 / $205.70 / $611.70