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South Dakota rates for HCPCS 43328

Esopg/Gstr Fundoplasty W/Thoracotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.48 / $987.48 / $987.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.57 / $987.48 / $1,092.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.56 / $2,347.42 / $2,934.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.44 / $1,668.84 / $3,059.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.84 / $2,063.04 / $8,001.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.85 / $2,515.52 / $3,453.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.85 / $2,425.75 / $2,973.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.70 / $1,891.14 / $2,156.12
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
$1,390.78 / $2,063.04 / $3,004.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,139.00 / $2,617.10 / $2,617.10