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South Dakota rates for HCPCS 31230

Maxillectomy W/Orbital Exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.67 / $2,097.67 / $2,097.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.83 / $2,097.67 / $5,777.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,388.60 / $4,503.97 / $5,629.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,990.78 / $2,883.56 / $5,451.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.39 / $4,032.32 / $14,927.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,127.20 / $4,954.57 / $6,229.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.00 / $4,388.60 / $5,417.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,470.58 / $3,421.42 / $3,900.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.39 / $4,216.59 / $5,581.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,716.00 / $4,371.80 / $4,546.60