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South Dakota rates for HCPCS 31002

Lavage Cannulation Sphenoid Sinus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.32 / $206.68 / $522.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.29 / $433.18 / $541.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.57 / $377.62 / $1,418.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.00 / $408.29 / $518.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.00 / $318.31 / $362.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.09 / $382.38 / $532.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.70 / $406.70 / $423.00