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South Dakota rates for HCPCS 69540

Excision aural polyp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $213.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $269.15 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $389.05 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $288.40 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $416.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $302.00 / $549.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $478.63