go back

South Dakota rates for HCPCS 31653

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.21 / $1,433.51 / $8,422.60
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$124.11 / $124.11 / $716.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.67 / $1,156.01 / $2,714.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.24 / $2,305.94 / $3,880.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.29 / $1,270.08 / $2,394.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00