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South Dakota rates for HCPCS 30905

Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $380.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $323.59 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $588.84 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $288.40 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $537.03 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $426.58 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $288.40 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $776.25