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South Dakota rates for HCPCS 43300

Esphgp Crv Appr W/O Rpr Tracheoesophgl Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.48 / $594.48 / $594.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.51 / $594.48 / $614.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.38 / $1,424.19 / $1,780.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.04 / $1,073.02 / $1,741.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.12 / $1,181.09 / $6,421.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.95 / $1,412.57 / $1,931.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $1,384.27 / $1,649.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.29 / $1,045.91 / $1,230.40
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
$670.20 / $1,097.03 / $1,706.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.59 / $1,493.50 / $1,493.50