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South Dakota rates for HCPCS 69320

Rcnstj Xtrnl Aud Canal Congenital Atresia 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.58 / $1,560.58 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.25 / $1,560.58 / $4,265.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,394.54 / $3,564.38 / $4,455.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.83 / $2,637.38 / $4,317.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.06 / $3,020.10 / $11,588.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.00 / $4,075.74 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.00 / $3,405.35 / $4,237.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.09 / $2,572.98 / $3,026.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.06 / $3,124.36 / $4,242.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,949.90 / $3,470.40 / $3,609.20