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South Dakota rates for HCPCS 69540

Excision Aural Polyp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.79 / $216.42 / $216.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.23 / $206.09 / $347.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.17 / $373.97 / $606.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.61 / $300.63 / $538.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.26 / $552.88 / $1,570.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.56 / $362.27 / $546.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.58 / $393.77 / $546.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.58 / $300.95 / $403.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.26 / $424.74 / $577.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.50 / $301.60 / $481.30