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South Dakota rates for HCPCS 92553

Pure Tone Audiometry Air & Bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $49.12 / $101.93
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.00 / $23.55 / $57.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.60 / $84.67 / $128.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.13 / $69.17 / $259.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.83 / $69.78 / $91.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $54.22 / $89.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.13 / $48.73 / $81.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $82.30 / $85.60