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South Dakota rates for HCPCS 43248

Egd Insert Guide Wire Dilator Passage Esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.33 / $1,280.59 / $2,880.46
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$76.67 / $76.67 / $203.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.49 / $269.25 / $1,553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.77 / $458.70 / $1,180.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.49 / $415.12 / $1,072.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.47 / $739.09 / $3,058.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.95 / $822.90 / $1,213.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $495.26 / $951.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.29 / $507.58 / $785.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.08 / $697.68 / $1,098.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.70 / $386.30 / $954.00