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South Dakota rates for HCPCS 69666

Repair oval window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.58 / $804.58 / $804.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.67 / $1,359.74 / $2,239.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.00 / $2,091.67 / $2,527.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.95 / $1,354.19 / $1,566.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00