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South Dakota rates for HCPCS 30620

Septal or other intranasal dermatoplasty (does not include obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,584.89 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,445.44 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,288.25
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
$676.08 / $1,230.27 / $1,778.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $1,513.56