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South Dakota rates for HCPCS 31084

Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.13 / $1,288.13 / $1,288.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.83 / $1,288.13 / $3,194.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.15 / $2,743.21 / $3,429.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.13 / $1,954.40 / $3,024.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.49 / $2,312.48 / $9,013.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.00 / $3,098.80 / $6,470.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.00 / $2,636.80 / $3,284.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.53 / $1,992.29 / $2,343.71
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
$1,387.49 / $2,312.48 / $3,259.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.69 / $2,626.70 / $2,731.70