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South Dakota rates for HCPCS 69220

Debridement Mastoidectomy Cavity Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.48 / $77.80 / $77.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.35 / $81.06 / $174.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.09 / $145.11 / $226.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.28 / $110.59 / $350.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $210.89 / $656.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.61 / $173.21 / $238.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.54 / $157.00 / $236.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.28 / $115.85 / $226.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.90 / $210.89 / $220.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.30 / $120.30 / $183.60