go back

South Dakota rates for HCPCS 69222

Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $218.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $263.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $275.42 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $398.11 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $309.03 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $575.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $501.19