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South Dakota rates for HCPCS 30901

Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $338.84 / $812.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $173.78 / $426.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$66.07 / $75.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $151.36 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $194.98 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $128.82 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $199.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $162.18 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $138.04 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $354.81