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South Dakota rates for HCPCS 69632

Tympnoplsty W/O Mstdc 1st/Revj W/Osicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.08 / $1,079.08 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.43 / $1,823.66 / $2,999.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.00 / $2,866.26 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.52 / $1,799.78 / $2,095.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00