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South Dakota rates for HCPCS 69502

Mastoidectomy Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.59 / $934.59 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.99 / $1,579.46 / $2,614.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $2,535.29 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.24 / $1,606.31 / $1,831.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00