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South Dakota rates for HCPCS 69005

Drainage External Ear Abscess/Hematoma Cmplx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.66 / $219.81 / $219.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.97 / $203.37 / $283.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $460.64 / $627.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.64 / $310.89 / $558.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.63 / $578.77 / $1,634.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.66 / $414.68 / $579.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.00 / $432.36 / $579.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.99 / $316.98 / $425.01
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
$254.63 / $424.38 / $604.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.89 / $378.00 / $506.80