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South Dakota rates for HCPCS 69644

Tmpp Mastoidect Ntc/Rcnsted Canal Wall Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.90 / $1,503.90 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.84 / $2,541.59 / $4,170.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $3,940.75 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.16 / $2,491.05 / $2,930.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00