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South Dakota rates for HCPCS 69209

Removal Impacted Cerumen Irrigation/Lvg Unilat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $125.95 / $158.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $24.48 / $42.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$20.58 / $58.05 / $82.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$6.78 / $7.83 / $19.71
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$2.71 / $3.13 / $7.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $36.61 / $45.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $22.92 / $41.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $25.58 / $116.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $38.57 / $46.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $31.37 / $40.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $25.93 / $30.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $28.40 / $39.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $34.90 / $36.29