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South Dakota rates for HCPCS 69401

Eustachian Tube Nfltj Transnsl W/O Cathj

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $371.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $100.00 / $100.00