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South Dakota rates for HCPCS 31502

Tracheotomy tube change prior to establishment of fistula tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $436.52 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $69.18 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $61.66 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $81.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $58.88 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $66.07 / $95.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $77.62