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South Dakota rates for HCPCS 43235

Esophagogastroduodenoscopy Transoral Diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.83 / $2,589.96 / $3,863.45
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$56.68 / $56.68 / $141.41
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$22.67 / $22.67 / $56.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.69 / $213.24 / $1,184.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.03 / $345.32 / $827.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.63 / $351.36 / $814.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.36 / $525.44 / $2,132.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.39 / $608.58 / $947.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.64 / $531.00 / $748.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.71 / $373.92 / $548.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.95 / $509.94 / $789.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.20 / $286.60 / $670.60