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South Dakota rates for HCPCS 43305

Esphgp Crv Appr W/Rpr Tracheoesophgl Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.35 / $1,029.35 / $1,029.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.54 / $1,029.35 / $1,082.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.29 / $2,455.71 / $3,069.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.38 / $1,855.08 / $2,911.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.33 / $2,088.42 / $9,419.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.32 / $2,504.46 / $3,375.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.00 / $2,404.64 / $2,910.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.22 / $1,835.17 / $2,137.36
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
$1,286.33 / $2,143.90 / $3,003.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.30 / $2,594.30 / $2,594.30