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South Dakota rates for HCPCS 43320

Egst W/Wo Vagotomy&Pyloroplasty Tabdl/Tthrc Ap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.93 / $1,249.93 / $1,249.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.18 / $1,249.93 / $1,365.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.44 / $2,985.51 / $3,731.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.50 / $2,112.38 / $3,637.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.02 / $2,658.92 / $10,079.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.30 / $3,121.72 / $4,350.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.00 / $3,068.39 / $3,748.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.17 / $2,347.48 / $2,727.33
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
$1,462.41 / $2,415.19 / $3,756.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.60 / $3,310.40 / $3,310.40