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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.52 / $208.52 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.17 / $413.02 / $669.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.95 / $589.69 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.30 / $379.59 / $432.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00