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Cutting the Tight Muscle of the Swallowing Tube

South Dakota rates for HCPCS 43331

Divides the tightened muscle at the lower end of the swallowing tube so that food and liquid can pass into the stomach again, working through an incision in the chest. It treats a condition in which that muscle fails to relax and food backs up above it.

Facilitymedian $1,738 · 10th–90th $1,175$4,3650%20%10th90th$1,738Professionalmedian $1,585 · 10th–90th $1,175$3,0200%20%10th90th$1,585$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,949.84
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,041.74
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,019.95
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,089.30
Typical High
$3,388.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$3,162.28