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South Dakota rates for HCPCS 31395

Pharyngolaryngectomy W/Rad Neck Dsj W/Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,068.67 / $3,068.67 / $3,068.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.31 / $3,068.67 / $8,594.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,388.61 / $6,566.25 / $8,207.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.02 / $4,205.24 / $7,899.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,617.16 / $6,028.60 / $21,757.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,663.46 / $7,220.80 / $9,117.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,318.00 / $6,388.61 / $7,912.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.82 / $4,980.64 / $5,678.49
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
$3,805.49 / $6,147.33 / $8,253.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,409.40 / $6,364.10 / $6,618.60