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South Dakota rates for HCPCS 69643

Tmpp Mastoidect Ntc/Rcnsted Wall W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.11 / $1,215.11 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.74 / $2,053.55 / $3,390.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.00 / $3,252.55 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.56 / $2,046.95 / $2,368.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00