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South Dakota rates for HCPCS 69424

Ventilating Tube Rmvl Requiring General Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.26 / $130.38 / $1,716.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.25 / $126.15 / $173.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $175.30 / $370.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.61 / $160.02 / $331.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $253.90 / $1,265.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.32 / $194.77 / $339.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.63 / $188.00 / $339.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $183.27 / $245.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.34 / $253.90 / $358.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.60 / $142.69 / $293.10