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South Dakota rates for HCPCS 43259

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis

Facilitymedian $3,162 · 10th–90th $209–$5,2480%10%20%10th90th$3,162Professionalmedian $380 · 10th–90th $288–$4680%20%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $3,388.44 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $389.05 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $537.03 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $3,890.45