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South Dakota rates for HCPCS 69300

Otoplasty Protruding Ear W/Wo Size Rdctj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.34 / $651.64 / $651.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.45 / $546.17 / $1,369.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.94 / $1,344.92 / $1,865.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.74 / $866.35 / $1,879.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.47 / $1,649.26 / $4,851.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.07 / $1,441.20 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.16 / $1,263.44 / $1,654.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.53 / $940.49 / $1,261.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.68 / $1,110.44 / $1,727.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.30 / $1,101.50 / $1,504.20