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South Dakota rates for HCPCS 43351

Esophagostomy, fistulization of esophagus, external; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.70 / $1,171.70 / $1,171.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.63 / $1,171.70 / $1,280.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.77 / $2,801.64 / $3,502.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.90 / $1,980.17 / $3,629.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.28 / $2,541.77 / $9,465.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.82 / $2,928.53 / $4,057.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.00 / $2,870.44 / $3,502.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.04 / $2,237.83 / $2,551.37
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
$1,459.37 / $2,266.56 / $3,525.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,531.10 / $3,096.80 / $3,096.80