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South Dakota rates for HCPCS 43214

Esophagoscopy Dilate Esophagus Balloon 30 Mm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.41 / $178.41 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.31 / $301.51 / $544.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.70 / $503.52 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.62 / $330.23 / $376.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00