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South Dakota rates for HCPCS 67414

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.25 / $1,558.25 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.11 / $1,817.27 / $3,484.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.67 / $2,777.32 / $3,584.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.50 / $2,173.42 / $2,766.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00