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South Dakota rates for HCPCS 67430

Orbitotomy Bone Flap/Window Lateral Rmvl Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.31 / $1,497.31 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.08 / $1,497.31 / $2,429.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,856.47 / $3,160.81 / $3,951.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.08 / $1,746.91 / $3,265.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.17 / $2,337.23 / $3,877.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,777.32 / $3,426.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.98 / $2,927.88 / $3,702.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.34 / $2,042.88 / $2,638.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.13 / $2,377.55 / $3,698.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.60 / $3,146.40 / $3,146.40