go back

South Dakota rates for HCPCS 43285

Removal Esophageal Sphincter Agmntj Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.58 / $606.58 / $606.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.90 / $606.58 / $656.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.47 / $1,454.58 / $1,818.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.36 / $929.33 / $1,855.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.08 / $1,232.06 / $4,870.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.01 / $1,733.95 / $6,721.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.06 / $1,496.51 / $1,805.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.69 / $1,119.05 / $1,316.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.40 / $1,232.33 / $1,808.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.00 / $1,597.90 / $1,597.90