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South Dakota rates for HCPCS 43450

Dilation Esoph Unguided Sound/Bougie 1/Mult Pass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $184.24 / $496.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $154.90 / $220.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $230.62 / $544.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.24 / $225.04 / $532.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.59 / $325.16 / $1,387.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.87 / $375.91 / $903.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.34 / $241.95 / $456.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.79 / $227.95 / $361.02
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
$180.16 / $328.38 / $483.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $186.90 / $439.70