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South Dakota rates for HCPCS 30620

Septal/Other Intranasal Dermatoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.56 / $732.56 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.48 / $732.56 / $1,723.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.34 / $1,542.62 / $1,928.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.22 / $1,055.78 / $1,693.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.05 / $1,230.08 / $6,691.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,675.30 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.00 / $1,454.82 / $1,844.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.01 / $1,064.30 / $1,299.61
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
$738.05 / $1,291.58 / $1,789.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.00 / $1,456.50 / $1,514.80