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South Dakota rates for HCPCS 43244

Egd Band Ligation Esophgeal/Gastric Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.36 / $226.36 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.75 / $439.76 / $694.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.32 / $639.04 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.08 / $410.23 / $467.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00