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South Dakota rates for HCPCS 30600

Repair fistula; oronasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $549.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,122.02 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,202.26