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South Dakota rates for HCPCS 20500

Injection of sinus tract; therapeutic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $125.89 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $194.98 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $204.17 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $186.21 / $229.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $173.78 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $295.12