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South Dakota rates for HCPCS 43497

Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,584.89 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53