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South Dakota rates for HCPCS 78262

Gastroesophageal Reflux Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.03 / $243.03 / $243.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.18 / $243.03 / $243.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.11 / $525.91 / $657.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.45 / $345.06 / $559.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.68 / $329.52 / $545.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.33 / $509.55 / $545.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $493.71 / $649.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.42 / $379.02 / $437.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.22 / $303.77 / $506.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.40 / $448.70 / $448.70