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South Dakota rates for HCPCS 43312

Esphgp Thrc Appr W/Rpr Tracheoesophgl Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.92 / $1,384.92 / $1,384.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.53 / $1,384.92 / $1,541.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.77 / $3,288.58 / $4,110.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.25 / $2,511.06 / $4,204.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.35 / $3,082.58 / $12,327.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,418.56 / $3,621.70 / $4,868.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.00 / $3,417.01 / $4,192.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.06 / $2,663.94 / $3,037.20
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
$1,696.16 / $3,083.92 / $4,238.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,013.00 / $3,686.50 / $3,686.50