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South Dakota rates for HCPCS 21685

Hyoid Myotomy & Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.15 / $986.15 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.80 / $1,631.66 / $2,631.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.11 / $2,593.88 / $8,759.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.08 / $1,662.27 / $1,916.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00