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South Dakota rates for HCPCS 43320

Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,090.30 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,290.87 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $3,630.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,311.31 / $3,311.31