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South Dakota rates for HCPCS 31075

Sinusotomy Frontal Transorbital Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.81 / $886.81 / $886.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.68 / $886.81 / $2,163.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.06 / $1,887.76 / $2,359.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.81 / $1,362.30 / $2,073.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.65 / $1,539.42 / $6,177.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.00 / $2,100.13 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $1,795.86 / $2,253.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.09 / $1,339.10 / $1,607.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.50 / $1,483.72 / $2,225.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.40 / $1,801.60 / $1,873.70