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South Dakota rates for HCPCS 69610

Tympanic Memb Rpr W/Wo Prepj Perfor Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.86 / $982.40 / $2,144.34
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,274.40 / $5,274.40 / $5,274.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.88 / $369.63 / $1,057.32
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$7,597.80 / $7,597.80 / $7,597.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.37 / $809.29 / $1,090.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.22 / $540.51 / $1,005.29
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$858.99 / $858.99 / $2,790.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.78 / $1,001.84 / $2,859.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.67 / $743.18 / $1,007.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.78 / $762.28 / $1,007.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.07 / $560.86 / $743.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.97 / $756.30 / $1,046.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.60 / $668.80 / $886.30