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South Dakota rates for HCPCS 43265

Ercp Destruction/Lithotripsy Calculi Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.37 / $398.37 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.16 / $787.16 / $1,279.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.70 / $1,131.80 / $6,355.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.80 / $722.30 / $823.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00