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South Dakota rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.97 / $229.78 / $229.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.36 / $229.78 / $397.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.70 / $349.62 / $651.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.78 / $323.39 / $1,181.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.64 / $568.04 / $6,427.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.29 / $380.63 / $712.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.29 / $423.50 / $712.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.21 / $324.54 / $438.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.06 / $480.25 / $593.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.40 / $289.30 / $523.00