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South Dakota rates for HCPCS 69715

Implj Osseointegrated Temporal Bone W/O Mastoid

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.87 / $2,885.01 / $3,606.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,404.85 / $9,404.85 / $9,404.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.85 / $2,072.85 / $2,235.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.00 / $2,185.00 / $2,710.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.46 / $2,222.17 / $2,259.32