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South Dakota rates for HCPCS 31086

Sinusot Frnt Nonoblit W/Ostpl Flap Brow Inc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.68 / $1,255.68 / $1,255.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.05 / $1,255.68 / $3,101.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.59 / $2,673.09 / $3,341.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.24 / $1,887.21 / $2,946.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.42 / $2,219.04 / $8,776.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.00 / $3,009.41 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.00 / $2,569.12 / $3,200.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.48 / $1,934.98 / $2,283.56
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
$1,331.42 / $2,039.87 / $3,173.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,175.40 / $2,559.30 / $2,661.60