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South Dakota rates for HCPCS 43233

Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $316.23 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $537.03 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26