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South Dakota rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.36 / $469.36 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.49 / $469.36 / $469.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.83 / $1,083.73 / $1,354.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.53 / $668.38 / $1,313.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.02 / $856.84 / $3,557.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.95 / $1,180.02 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.23 / $960.86 / $1,276.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.37 / $814.79 / $928.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.10 / $958.02 / $1,204.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.30 / $1,065.09 / $1,107.70