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South Dakota rates for HCPCS 31000

Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.32 / $201.93 / $201.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.87 / $117.32 / $201.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.10 / $321.38 / $539.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.47 / $263.39 / $471.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.95 / $490.25 / $1,382.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.07 / $280.11 / $484.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $334.68 / $484.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.05 / $266.27 / $359.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.49 / $329.27 / $512.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.10 / $253.30 / $418.50