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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
$218.78 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $363.08 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $562.34 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26