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South Dakota rates for HCPCS 31390

Pharyngolaryngectomy W/Rad Neck Dsj W/O Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,919.27 / $2,919.27 / $2,919.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.02 / $2,919.27 / $8,121.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,095.30 / $6,258.51 / $7,823.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,731.04 / $4,005.33 / $7,509.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,421.45 / $5,702.42 / $20,744.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,398.00 / $6,884.77 / $8,676.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,729.00 / $6,095.30 / $7,536.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,217.58 / $4,744.88 / $5,417.79
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
$3,421.45 / $5,029.34 / $7,823.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,161.10 / $6,071.90 / $6,314.80