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South Dakota rates for HCPCS 31080

Sinusotomy Frnt Obliterative W/O Flap Brow Inc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.02 / $1,166.02 / $1,166.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.82 / $1,166.02 / $2,851.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.03 / $2,479.88 / $3,099.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.61 / $1,799.09 / $2,728.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.59 / $2,032.66 / $8,127.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.00 / $2,767.17 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.00 / $2,364.71 / $2,965.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.50 / $1,782.85 / $2,113.42
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
$1,574.61 / $2,930.14 / $2,961.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,013.30 / $2,368.60 / $2,463.30