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South Dakota rates for HCPCS 69552

Excision Aural Glomus Tumor Transmastoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.40 / $1,575.40 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.46 / $1,575.40 / $4,389.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,466.49 / $3,603.34 / $4,504.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.25 / $2,662.43 / $4,390.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.52 / $3,080.86 / $11,786.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.00 / $4,185.46 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.00 / $3,466.49 / $4,303.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.30 / $2,622.50 / $3,081.18
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
$1,848.52 / $2,787.79 / $4,336.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,002.80 / $3,532.70 / $3,674.00