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South Dakota rates for HCPCS 31205

Ethmoidectomy Extranasal Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.53 / $1,011.53 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.89 / $1,583.94 / $2,354.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $2,343.01 / $2,918.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.52 / $1,536.32 / $1,819.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00