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South Dakota rates for HCPCS 69716

Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.44 / $607.44 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.13 / $864.57 / $1,710.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.98 / $1,875.02 / $23,899.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.20 / $1,060.47 / $1,209.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00