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South Dakota rates for HCPCS 69401

Eustachian Tube Inflation, Transnasal; Without Catheterization

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.07 / $142.16 / $244.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.37 / $373.91 / $373.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.00 / $132.00 / $132.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.06 / $132.00 / $178.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $51.46 / $101.00