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South Dakota rates for HCPCS 43285

Removal of esophageal sphincter augmentation device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $912.01 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,513.56 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,737.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,584.89 / $1,584.89