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South Dakota rates for HCPCS 43300

Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $977.24 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $6,456.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,412.54 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,698.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $1,479.11