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South Dakota rates for HCPCS 43243

Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.16 / $218.16 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.95 / $400.24 / $668.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.42 / $618.39 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.13 / $399.45 / $455.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00