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South Dakota rates for HCPCS 69530

Petrous apicectomy including radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.94 / $1,665.94 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.45 / $2,815.44 / $4,500.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.00 / $4,376.03 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.22 / $2,778.09 / $3,268.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00