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South Dakota rates for HCPCS 30560

Lysis intranasal synechia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $357.15 / $357.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $261.88 / $357.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.99 / $535.80 / $921.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.65 / $357.70 / $691.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.06 / $757.88 / $2,383.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.52 / $471.37 / $788.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.14 / $450.01 / $739.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.96 / $432.47 / $608.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.31 / $535.10 / $831.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.80 / $342.30 / $708.80