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South Dakota rates for HCPCS C1748

Endoscope, single-use (i.e. disposable), upper GI, imaging/illumination device (insertable)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $1,545.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.58 / $2,612.03 / $4,234.89