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South Dakota rates for HCPCS 67430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,621.81 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,235.94 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,862.09 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,951.21 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,089.30 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,238.72 / $3,548.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $3,162.28