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South Dakota rates for HCPCS G0268

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $52.34 / $52.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $46.32 / $68.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $57.00 / $71.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.50 / $65.18 / $102.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.07 / $95.48 / $327.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.18 / $75.69 / $119.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $75.69 / $105.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.41 / $75.23 / $100.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.07 / $89.21 / $104.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $55.60 / $88.50