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South Dakota rates for HCPCS 43415

Sutr Esophgl Wnd/Inj Tthrc/Tabdl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.73 / $2,273.73 / $2,273.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.22 / $3,489.66 / $6,726.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,839.51 / $5,760.74 / $7,859.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.44 / $4,328.87 / $4,946.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00