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South Dakota rates for HCPCS 44373

Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.10 / $176.10 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.14 / $318.44 / $541.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.32 / $482.12 / $2,030.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.05 / $323.42 / $368.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00