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South Dakota rates for HCPCS 69990

Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)

Facilitymedian $324 · 10th–90th $191–$4,3650%20%10th90th$324Professionalmedian $363 · 10th–90th $85–$4270%10%20%10th90th$363$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $2,290.87 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $316.23 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $467.74 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $426.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83