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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
$106.60 / $382.98 / $382.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.67 / $232.06 / $576.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.61 / $583.96 / $1,004.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $287.47 / $665.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.88 / $762.97 / $2,580.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.89 / $324.33 / $854.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.60 / $388.00 / $798.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.42 / $425.87 / $670.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.10 / $612.27 / $952.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.60 / $240.50 / $781.10