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South Dakota rates for HCPCS 69450

Tympanolysis Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.95 / $549.95 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.89 / $549.95 / $1,524.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.58 / $1,252.01 / $1,565.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.27 / $901.96 / $1,517.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.74 / $1,081.24 / $4,641.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $1,446.71 / $2,440.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.00 / $1,193.58 / $1,490.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.02 / $908.59 / $1,060.92
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
$648.74 / $969.91 / $1,508.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.90 / $1,216.40 / $1,265.00