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South Dakota rates for HCPCS 31267

Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.70 / $3,523.79 / $3,523.79
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$576.50 / $2,421.65 / $3,375.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $291.39 / $4,305.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,235.60 / $2,235.60 / $17,003.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.15 / $585.88 / $732.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.45 / $474.00 / $844.26
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,249.34 / $7,249.34 / $7,249.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.72 / $617.86 / $5,305.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.15 / $689.32 / $4,395.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.00 / $611.97 / $708.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.43 / $487.38 / $540.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.82 / $648.75 / $728.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.70 / $574.90 / $597.90