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South Dakota rates for HCPCS 31294

Nasal/sinus endoscopy, surgical, with optic nerve decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.59 / $1,272.59 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.63 / $1,272.59 / $3,470.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.11 / $2,731.52 / $3,414.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.20 / $2,150.69 / $3,280.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.84 / $2,443.06 / $9,109.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.84 / $3,024.19 / $3,800.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.00 / $2,676.11 / $3,302.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.75 / $2,067.83 / $2,378.65
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
$1,078.88 / $2,284.69 / $3,376.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.00 / $2,665.80 / $2,772.50