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South Dakota rates for HCPCS 65114

Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap

Facilitymedian $2,138 · 10th–90th $1,549–$6,9180%20%10th90th$2,138Professionalmedian $2,399 · 10th–90th $1,549–$4,0740%10%20%10th90th$2,399$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,715.35 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,995.26 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,344.23 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,511.89 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,754.23 / $4,265.80
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,630.78 / $3,630.78