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South Dakota rates for HCPCS 43325

Esopg/Gstr Fundoplasty W/Fundic Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.73 / $1,215.73 / $1,215.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.18 / $1,215.73 / $1,327.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,112.67 / $2,906.04 / $3,632.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.11 / $2,054.58 / $3,509.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.42 / $2,556.73 / $9,845.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.37 / $3,035.15 / $4,232.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.00 / $2,983.97 / $3,645.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.15 / $2,261.62 / $2,652.29
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
$1,523.42 / $2,348.37 / $3,653.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,631.20 / $3,219.30 / $3,219.30