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South Dakota rates for HCPCS 30630

Repair Nasal Septal Perforations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.98 / $720.98 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.58 / $1,084.96 / $1,680.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $1,674.34 / $2,440.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.30 / $1,060.08 / $1,297.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00