go back

South Dakota rates for HCPCS 43210

Egd Partial/Compl Esophagogastric Fundoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.14 / $389.14 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.92 / $651.88 / $1,195.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.82 / $1,129.99 / $16,745.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.16 / $702.22 / $826.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00