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South Dakota rates for HCPCS 31253

Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.06 / $511.06 / $4,338.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,421.65 / $2,421.65 / $2,421.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.54 / $704.48 / $1,235.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.49 / $1,302.33 / $5,700.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.48 / $846.56 / $965.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00