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South Dakota rates for HCPCS 43254

Egd Transoral Endoscopic Mucosal Resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.15 / $249.15 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.27 / $421.06 / $760.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.61 / $660.13 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.08 / $452.79 / $516.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00