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South Dakota rates for HCPCS 69727

Removal Entire Oi Implt Skl Mag Tc Attch Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.16 / $522.16 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.18 / $522.16 / $522.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.98 / $1,206.05 / $1,507.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.79 / $743.90 / $1,465.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.05 / $978.82 / $3,967.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.27 / $1,316.21 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.23 / $1,100.09 / $1,441.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.74 / $908.97 / $1,036.33
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
$694.54 / $1,129.97 / $1,376.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.00 / $1,188.20 / $1,235.70