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South Dakota rates for HCPCS 43410

Sutr Esophgl Wnd/Inj Crv Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.79 / $973.79 / $973.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.09 / $973.79 / $1,018.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.37 / $2,333.40 / $2,916.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.76 / $1,574.68 / $2,742.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.16 / $1,960.91 / $7,710.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,571.09 / $2,355.83 / $3,175.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.00 / $2,278.01 / $2,720.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.23 / $1,770.19 / $2,024.80
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
$1,111.88 / $1,816.36 / $2,825.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.70 / $2,457.69 / $2,457.69