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South Dakota rates for HCPCS 43277

Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.49 / $433.08 / $433.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.68 / $588.95 / $1,064.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.47 / $988.18 / $4,408.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.60 / $632.65 / $721.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00