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South Dakota rates for HCPCS 30462

Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.41 / $1,670.41 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.72 / $1,670.41 / $4,434.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,377.03 / $3,581.52 / $4,476.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.96 / $2,822.99 / $3,943.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.68 / $2,883.45 / $11,748.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.00 / $3,895.30 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,286.00 / $3,377.03 / $4,317.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.39 / $2,486.46 / $3,103.18
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
$1,647.68 / $2,883.45 / $4,413.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,956.20 / $3,477.80 / $3,616.90