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South Dakota rates for HCPCS 30115

Excision, nasal polyp(s), extensive

Facilitymedian $1,096 · 10th–90th $501–$4,3650%20%10th90th$1,096Professionalmedian $550 · 10th–90th $407–$1,0960%20%10th90th$550$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,096.48 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $794.33 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,000.00 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $891.25 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,023.29 / $1,047.13