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South Dakota rates for HCPCS 43213

Esophagoscopy Retrograde Dilate Balloon/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.05 / $1,235.21 / $1,235.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.38 / $1,076.93 / $3,183.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.40 / $1,729.04 / $3,280.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.87 / $1,618.76 / $2,262.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00