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South Dakota rates for HCPCS 31255

Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.88 / $330.88 / $4,338.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,405.50 / $13,994.39 / $13,994.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.88 / $403.79 / $6,151.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$444.12 / $18,651.68 / $18,651.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.06 / $714.43 / $893.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.24 / $599.35 / $1,062.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.32 / $778.86 / $6,125.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.06 / $841.00 / $4,395.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.98 / $747.05 / $863.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.48 / $593.70 / $680.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.37 / $673.18 / $890.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.29 / $700.40 / $728.40