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South Dakota rates for HCPCS 67345

Chemodenervation of extraocular muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $257.04 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $562.34 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $309.03 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $436.52 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $645.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $562.34