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South Dakota rates for HCPCS 43201

Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $257.04 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $269.15 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $630.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $338.84 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26