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South Dakota rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.70 / $1,320.70 / $1,320.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.54 / $1,320.70 / $2,955.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.92 / $2,807.10 / $3,508.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.86 / $1,804.22 / $2,905.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.33 / $2,152.35 / $9,086.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,010.28 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $2,424.64 / $3,348.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.31 / $1,932.06 / $2,381.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.33 / $2,152.35 / $3,348.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.00 / $2,669.40 / $2,776.20