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South Dakota rates for HCPCS 69670

Mastoid Obliteration Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.40 / $938.40 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.83 / $1,585.90 / $2,614.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.00 / $2,516.52 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.88 / $1,575.82 / $1,830.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00