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South Dakota rates for HCPCS 69930

Cochlear Device Implantation W/Wo Mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.24 / $1,193.24 / $39,643.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.87 / $2,016.58 / $3,360.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.00 / $3,229.35 / $64,931.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.58 / $2,049.27 / $2,353.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,000.00 / $33,000.00 / $33,000.00