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South Dakota rates for HCPCS 43361

Gi Rcnstj Prev Esphg/Exclusion W/Colon Sm Int

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.87 / $2,400.87 / $2,400.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.42 / $2,400.87 / $2,630.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,171.54 / $5,738.07 / $7,172.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.19 / $4,057.47 / $6,707.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,957.86 / $4,929.76 / $19,403.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,860.14 / $6,025.62 / $8,374.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,860.14 / $5,909.72 / $7,213.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,198.61 / $4,325.39 / $5,252.83
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
$2,957.86 / $4,649.49 / $7,232.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,211.00 / $6,375.80 / $6,375.80