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South Dakota rates for HCPCS C9777

Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.00 / $2,290.00 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,057.17 / $13,616.62 / $16,114.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,924.84 / $3,965.10 / $6,318.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00