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South Dakota rates for HCPCS 67405

Orbitotomy W/O Bone Flap Expl W/Drainage Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.99 / $978.99 / $978.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.87 / $1,144.70 / $2,183.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,795.50 / $2,238.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.28 / $1,300.23 / $1,722.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00