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South Dakota rates for HCPCS 31390

Pharyngolaryngectomy, with radical neck dissection; without reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,456.54 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $5,011.87 / $20,892.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $6,025.60 / $6,606.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,786.30 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $5,495.41 / $7,762.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $6,309.57