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South Dakota rates for HCPCS 43286

Esophagectomy Total Near Total W/Laps Moblj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,812.67 / $2,812.67 / $2,812.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.38 / $2,812.67 / $3,104.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,861.41 / $6,687.02 / $8,358.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,989.55 / $4,283.10 / $7,398.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,641.80 / $5,861.32 / $22,633.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,660.06 / $7,504.70 / $9,783.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,656.37 / $7,135.52 / $8,446.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,912.91 / $5,258.70 / $6,130.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,641.80 / $5,995.28 / $8,548.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,081.20 / $7,440.60 / $7,440.60