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South Dakota rates for HCPCS 31040

Pterygomaxillary Fossa Surgery Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.77 / $858.77 / $858.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.24 / $1,391.30 / $2,014.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.00 / $2,061.67 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.92 / $1,301.81 / $1,562.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00