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South Dakota rates for HCPCS 31613

Tracheostoma Revj Smpl W/O Flap Rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.71 / $450.71 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.11 / $757.80 / $1,181.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,149.46 / $2,440.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.43 / $720.60 / $821.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00