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South Dakota rates for HCPCS 21347

Optx Nasomax Cplx Fx Left Ii Type Req Mlt Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.52 / $1,056.52 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.10 / $1,056.52 / $2,454.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.84 / $2,367.67 / $2,959.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.39 / $1,736.51 / $2,977.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.69 / $2,321.19 / $10,228.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.62 / $2,321.19 / $3,236.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.62 / $2,235.94 / $2,759.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.46 / $1,779.37 / $2,028.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.66 / $2,218.69 / $2,819.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.50 / $2,462.40 / $2,462.40