go back

South Dakota rates for HCPCS 69222

Debridement Mastoidectomy Cavity Cmplx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.29 / $220.20 / $220.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $216.27 / $306.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.76 / $453.12 / $623.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.44 / $309.64 / $567.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.39 / $569.41 / $1,608.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.58 / $365.89 / $564.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.55 / $403.35 / $564.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.19 / $310.12 / $415.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.39 / $434.74 / $594.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.39 / $318.60 / $496.00