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South Dakota rates for HCPCS 69705

Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $2,290.87 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $5,495.41 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $3,311.31 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $4,466.84 / $19,952.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $6,918.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $2,630.27 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $489.78 / $9,120.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $5,888.44