go back

South Dakota rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,763.04 / $2,763.04 / $2,763.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.61 / $2,763.04 / $4,686.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,790.04 / $6,588.85 / $8,236.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,012.77 / $4,669.54 / $7,675.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,437.62 / $5,694.45 / $22,337.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,489.04 / $6,800.54 / $9,666.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,592.00 / $6,488.29 / $7,843.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,484.80 / $4,712.38 / $6,044.63
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
$3,151.15 / $5,664.58 / $7,836.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,996.50 / $7,336.90 / $7,336.90