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South Dakota rates for HCPCS 69646

Tympanoplasty Mastoidectomy Rad/Compl W/Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.31 / $1,564.31 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.47 / $2,643.68 / $4,343.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,586.00 / $4,110.45 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.73 / $2,586.17 / $3,042.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00