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South Dakota rates for HCPCS 43205

Esphgoscopy Flex W/Band Ligation Esophgl Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.66 / $130.66 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.90 / $258.58 / $493.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.97 / $367.98 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.61 / $248.82 / $279.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00