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South Dakota rates for HCPCS 31520

Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.63 / $160.63 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $157.63 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.79 / $349.04 / $436.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.32 / $271.45 / $418.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.58 / $307.64 / $1,158.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $384.43 / $474.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.00 / $342.79 / $416.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.75 / $263.41 / $304.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.58 / $311.58 / $426.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.30 / $341.50 / $355.10