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South Dakota rates for HCPCS 67550

Orbital implant (implant outside muscle cone); insertion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.29 / $1,173.29 / $1,173.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.51 / $1,366.84 / $2,607.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.28 / $2,297.41 / $2,777.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.91 / $1,580.46 / $2,070.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00