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South Dakota rates for HCPCS 43250

Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.83 / $443.55 / $443.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.83 / $260.47 / $732.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.02 / $466.49 / $1,278.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.76 / $427.85 / $1,186.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.62 / $829.16 / $3,314.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.43 / $910.06 / $1,522.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.00 / $519.35 / $1,046.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.04 / $563.35 / $853.91
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
$286.82 / $713.14 / $1,219.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.70 / $397.30 / $1,036.50