CPT code 43241: Endoscopic tube placement, intraluminal tube or catheter2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $120.27 for 43241 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43241 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 43241 covers

A gastroenterologist or other qualified endoscopist advances a flexible scope through the mouth to guide an intraluminal tube or catheter into the upper gastrointestinal tract. A common use is placing a nasoenteric feeding tube under direct visualization, including when blind advancement is unsuccessful or tube position needs endoscopic guidance. The procedure may be performed in a hospital or, less commonly, an office setting.

Choose this code when tube or catheter insertion is the therapeutic service, rather than simply inspecting the esophagus, stomach, and duodenum. The report should identify the indication, the tube or catheter placed, and the endoscopic guidance and placement performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 43241

Across 109 of 109 payment localities, the facility rate for 43241 runs from $117.02 in Arkansas to $165.33 in Alaska. South Dakota pays $120.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43241 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 43241 in every payment locality

How the 43241 rate is calculated

Each of 43241’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 43241

The CMS indicators that decide how 43241 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 43241

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 43241 has changed in South Dakota

Price 43241 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates