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South Dakota rates for HCPCS 67450

Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.80 / $1,504.80 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.90 / $1,504.80 / $2,442.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,873.23 / $3,177.17 / $3,971.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.90 / $1,755.26 / $3,279.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.67 / $2,362.73 / $3,919.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,777.32 / $3,442.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.36 / $2,945.06 / $3,721.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.29 / $2,055.65 / $2,653.58
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
$1,367.89 / $2,419.83 / $3,717.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.10 / $3,164.20 / $3,164.20