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South Dakota rates for HCPCS 43310

Esphgp Thrc Appr W/O Rpr Tracheoesophgl Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.14 / $1,303.14 / $1,303.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.46 / $1,303.14 / $1,438.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.84 / $3,101.60 / $3,877.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.74 / $2,362.92 / $3,869.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.70 / $2,809.50 / $10,702.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.87 / $3,309.92 / $4,553.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.00 / $3,204.50 / $3,924.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.09 / $2,494.86 / $2,848.30
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
$1,685.70 / $2,543.04 / $3,955.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,825.60 / $3,457.20 / $3,457.20