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South Dakota rates for HCPCS 43240

Egd Transoral Transmural Drainage Pseudocyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.71 / $360.71 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.37 / $609.60 / $1,101.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.46 / $957.94 / $10,100.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.70 / $654.78 / $746.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00