go back

South Dakota rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,398.83 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,819.70 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,238.72 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,995.26 / $2,884.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $2,398.83