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South Dakota rates for HCPCS 43289

Unlisted Laparoscopy Procedure Esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,511.00 / $3,511.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,283.20 / $8,283.20 / $8,283.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00