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South Dakota rates for HCPCS 31613

Tracheostoma revision; simple, without flap rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53