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South Dakota rates for HCPCS 69601

Revj Mastoidectomy Rsltg Compl Mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.19 / $1,008.19 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.18 / $1,008.19 / $2,924.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.25 / $2,301.46 / $2,876.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.18 / $1,703.84 / $2,819.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.83 / $2,063.06 / $7,589.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.00 / $2,738.74 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.00 / $2,221.25 / $2,762.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.78 / $1,731.70 / $1,974.34
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
$1,237.83 / $2,578.83 / $2,834.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.10 / $2,263.69 / $2,354.19