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South Dakota rates for HCPCS 69636

Tympp Antrt/Mastoid W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.00 / $1,410.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.93 / $2,382.90 / $3,899.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.00 / $3,680.09 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.34 / $2,325.53 / $2,735.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00