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South Dakota rates for HCPCS 43238

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures)

Facilitymedian $3,020 · 10th–90th $214–$5,3700%10%10th90th$3,020Professionalmedian $380 · 10th–90th $295–$4790%10%20%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $3,090.30 / $6,025.60
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $457.09 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $389.05 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $549.54 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $3,890.45