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South Dakota rates for HCPCS 43420

Clsr Esophagostomy/Fstl Crv Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.79 / $956.79 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.47 / $956.79 / $1,007.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.12 / $2,283.54 / $2,854.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.64 / $1,616.98 / $2,715.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.50 / $1,942.89 / $7,582.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.45 / $2,334.15 / $3,135.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.00 / $2,235.06 / $2,690.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.20 / $1,711.59 / $1,986.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.50 / $2,016.59 / $2,794.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.80 / $2,411.30 / $2,411.30