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South Dakota rates for HCPCS 43215

Esophagoscopy Flexible Removal Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.05 / $386.97 / $386.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.33 / $373.00 / $1,058.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.36 / $790.84 / $1,522.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.53 / $503.28 / $746.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00