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South Dakota rates for HCPCS 92575

Sensorineural Acuity Level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $75.69 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $129.86 / $197.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.96 / $107.84 / $446.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.48 / $111.49 / $149.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $90.68 / $143.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.44 / $81.29 / $138.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.20 / $126.00 / $131.00