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South Dakota rates for HCPCS 43338

Esophagus Lengthening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.20 / $99.20 / $99.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.66 / $99.20 / $112.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.49 / $234.51 / $293.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.18 / $170.84 / $310.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.01 / $212.36 / $808.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.11 / $259.61 / $352.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.25 / $245.27 / $303.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.02 / $191.21 / $218.01
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
$145.41 / $219.61 / $307.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.30 / $264.60 / $264.60