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South Dakota rates for HCPCS 69840

Revise Inner Ear Window

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.55 / $1,954.76 / $2,443.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.38 / $1,675.09 / $2,424.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,110.00 / $4,110.00 / $4,110.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.29 / $1,372.29 / $1,564.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.00 / $1,372.29 / $1,826.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.58 / $1,521.28 / $1,546.72