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South Dakota rates for HCPCS 31614

Tracheostoma revision; complex, with flap rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.14 / $757.14 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.08 / $1,135.25 / $1,977.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $1,914.26 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.93 / $1,214.24 / $1,384.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00