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South Dakota rates for HCPCS 69662

Revision Stapedectomy/Stapedotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.39 / $1,140.39 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.92 / $1,927.26 / $3,195.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,937.00 / $3,067.83 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.99 / $1,940.77 / $2,232.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00