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South Dakota rates for HCPCS 31368

Laryngectomy Stot Supraglottic W/Rad Nck Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,521.00 / $2,521.00 / $2,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.77 / $2,521.00 / $6,958.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,240.85 / $5,405.40 / $6,756.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.48 / $3,452.28 / $6,418.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,933.75 / $4,889.58 / $17,816.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.62 / $5,911.68 / $7,470.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,680.00 / $5,240.85 / $6,482.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,989.63 / $4,061.40 / $4,658.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,117.01 / $5,066.22 / $6,721.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.60 / $5,220.70 / $5,429.60