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South Dakota rates for HCPCS 43247

Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $2,511.89 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $371.54 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $501.19 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $363.08 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $588.84 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $933.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $446.68 / $741.31
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 / $416.87 / $851.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $891.25