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South Dakota rates for HCPCS 43233

Egd Esophagus Balloon Dilation 30 Mm Or Larger

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.77 / $208.77 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.08 / $352.82 / $638.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.90 / $600.42 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.12 / $385.26 / $439.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $3,793.98