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South Dakota rates for HCPCS 67413

Orbitotomy W/O Bone Flap W/Rmvl Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.97 / $1,043.97 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.25 / $1,215.64 / $2,318.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,854.85 / $2,380.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.29 / $1,400.60 / $1,834.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00