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South Dakota rates for HCPCS 69424

Ventilating tube removal requiring general anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $1,698.24 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $123.03 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $302.00 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $158.49 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $229.09 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $288.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.83 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $162.18 / $346.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $295.12