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South Dakota rates for HCPCS 67412

Orbitotomy W/O Bone Flap W/Removal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.18 / $1,074.18 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.15 / $868.46 / $1,586.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.51 / $2,252.38 / $2,815.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.46 / $1,325.34 / $2,369.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.62 / $1,610.48 / $2,671.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,848.05 / $2,441.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.82 / $2,007.07 / $2,654.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.71 / $1,401.08 / $1,879.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.07 / $1,662.88 / $2,586.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.40 / $2,240.80 / $2,240.80