go back

South Dakota rates for HCPCS 43201

Esophagoscopy Flexible Transoral W Submucous Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.39 / $255.83 / $255.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.03 / $295.83 / $711.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.67 / $561.85 / $1,522.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.92 / $339.82 / $496.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00