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South Dakota rates for HCPCS 43220

Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.83 / $906.35 / $906.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.85 / $331.02 / $2,564.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.74 / $1,522.92 / $2,359.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.25 / $1,234.69 / $1,885.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00