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South Dakota rates for HCPCS 43510

Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.04 / $857.04 / $857.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.67 / $857.04 / $928.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.60 / $2,054.48 / $2,568.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.16 / $1,448.40 / $2,460.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.51 / $1,766.00 / $6,888.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.37 / $2,117.98 / $2,962.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.00 / $2,096.78 / $2,554.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.17 / $1,588.01 / $1,863.72
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
$1,059.59 / $1,766.00 / $2,556.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.90 / $2,262.19 / $2,262.19