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South Dakota rates for HCPCS 43331

Esophagomyotomy Heller Type Thoracic Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.34 / $1,184.34 / $1,184.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.04 / $1,184.34 / $1,301.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.33 / $2,825.80 / $3,532.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.22 / $2,001.55 / $3,525.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.10 / $2,560.16 / $9,581.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.25 / $2,991.16 / $4,117.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.25 / $2,906.82 / $3,553.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.50 / $2,266.19 / $2,583.71
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
$1,460.99 / $2,422.63 / $3,580.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.10 / $3,136.10 / $3,136.10