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South Dakota rates for HCPCS 31290

Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.42 / $1,183.42 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.96 / $1,999.98 / $3,055.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.65 / $2,808.82 / $3,542.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.93 / $1,933.81 / $2,228.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00