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South Dakota rates for HCPCS 43245

Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,187.76 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $416.87 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $489.78 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $436.52 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $954.99 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $707.95 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $489.78 / $1,318.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $1,348.96