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South Dakota rates for HCPCS 67420

Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.62 / $1,868.62 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,510.29 / $2,169.53 / $4,247.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,478.55 / $3,366.12 / $4,398.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.15 / $2,656.16 / $3,311.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00