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South Dakota rates for HCPCS 43253

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.43 / $242.43 / $3,511.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$121.22 / $121.22 / $121.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.09 / $409.71 / $742.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.02 / $641.99 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.90 / $440.30 / $501.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00