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South Dakota rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $2,630.27 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $380.19 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26