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South Dakota rates for HCPCS 43330

Esophagomyotomy Heller Type Abdominal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.28 / $1,196.28 / $1,196.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.75 / $1,196.28 / $2,034.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.12 / $2,858.52 / $3,573.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.51 / $2,021.71 / $3,476.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.53 / $2,545.73 / $9,644.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,985.86 / $2,985.03 / $4,162.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.00 / $2,935.19 / $3,583.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.08 / $2,242.46 / $2,608.94
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
$1,400.16 / $2,443.34 / $3,592.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,588.19 / $3,166.70 / $3,166.70