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South Dakota rates for HCPCS 43255

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $2,570.40 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $398.11 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $549.54 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $1,071.52 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $724.44 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $562.34 / $1,445.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $1,412.54