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South Dakota rates for HCPCS 69950

Vestibular Nrv Section Transcranial Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.08 / $1,698.08 / $1,698.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.77 / $1,698.08 / $5,004.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.48 / $3,903.29 / $4,879.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,414.62 / $4,727.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.10 / $3,526.84 / $14,283.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,737.59 / $4,305.42 / $5,401.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.00 / $3,811.48 / $4,703.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.73 / $2,971.47 / $3,387.82
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
$2,116.10 / $3,108.46 / $4,835.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,301.60 / $3,884.30 / $4,039.70