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South Dakota rates for HCPCS 30450

Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.07 / $1,851.07 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.66 / $1,492.45 / $2,811.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,593.81 / $3,954.71 / $4,943.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.78 / $2,922.93 / $4,336.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.87 / $3,094.07 / $13,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,727.00 / $4,277.83 / $5,498.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.00 / $3,527.05 / $4,748.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.96 / $2,737.17 / $3,399.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $11,831.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.23 / $3,678.34 / $4,813.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,238.40 / $3,809.90 / $3,962.30