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South Dakota rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $808.39 / $808.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.81 / $291.60 / $2,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.47 / $1,455.69 / $2,082.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.90 / $1,099.16 / $1,619.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00