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South Dakota rates for HCPCS 43405

Lig/Stapling G-Esop Junct Pre-Esophgl Prf8j

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.86 / $1,291.86 / $1,291.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.94 / $1,291.86 / $1,415.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.51 / $3,086.02 / $3,857.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.14 / $2,183.26 / $4,015.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.75 / $2,811.50 / $10,442.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.75 / $3,247.61 / $4,483.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.00 / $3,167.37 / $3,869.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.61 / $2,469.32 / $2,815.31
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
$1,765.74 / $2,943.18 / $3,895.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.90 / $3,417.20 / $3,417.20