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South Dakota rates for HCPCS 43246

Egd Percutaneous Placement Gastrostomy Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.76 / $182.76 / $3,073.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$91.38 / $91.38 / $91.38
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$36.54 / $36.54 / $36.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.24 / $362.28 / $579.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.39 / $523.27 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.43 / $337.04 / $384.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$75.41 / $75.41 / $75.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$75.41 / $75.41 / $75.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00