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South Dakota rates for HCPCS 30545

Repair choanal atresia; transpalatine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.25 / $1,074.25 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.83 / $1,074.25 / $2,607.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,072.32 / $2,280.42 / $2,850.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.93 / $1,700.17 / $2,513.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.24 / $1,825.68 / $7,476.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.00 / $2,479.39 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.00 / $2,057.73 / $2,732.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.60 / $1,570.26 / $1,942.64
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
$1,043.24 / $1,796.18 / $2,692.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.60 / $2,177.19 / $2,264.30