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South Dakota rates for HCPCS 69200

Rmvl Fb Xtrnl Auditory Canal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.61 / $80.14 / $206.14
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$153.69 / $153.69 / $153.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $119.95 / $269.10
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.45 / $99.45 / $164.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.86 / $134.80 / $231.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.59 / $113.79 / $314.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.60 / $216.70 / $647.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.80 / $176.13 / $248.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.81 / $149.44 / $239.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $116.72 / $203.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $145.55 / $226.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $111.10 / $186.70