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South Dakota rates for HCPCS 92575

Sensorineural acuity level test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $75.86 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $125.89 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $97.72 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $100.00 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $138.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $131.83