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South Dakota rates for HCPCS 31775

Bronchoplasty Excision Stenosis & Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.09 / $1,355.09 / $1,355.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.71 / $1,355.09 / $4,036.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,923.59 / $2,953.20 / $3,654.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.61 / $2,066.42 / $3,366.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.86 / $2,686.01 / $9,955.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,011.21 / $3,301.46 / $4,287.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.94 / $3,018.17 / $3,696.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.34 / $2,269.62 / $2,682.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.71 / $2,558.10 / $3,724.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,555.60 / $3,006.60 / $3,126.80