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South Dakota rates for HCPCS 92563

Tone Decay Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $35.45 / $44.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $65.23 / $94.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $50.36 / $203.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $54.32 / $67.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $40.86 / $67.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $37.21 / $64.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $60.70 / $63.10