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South Dakota rates for HCPCS 67805

Excision Chalazion Multiple Different Lids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.61 / $218.74 / $218.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.83 / $177.74 / $285.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.13 / $466.49 / $589.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.88 / $256.57 / $491.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.47 / $381.34 / $1,217.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.05 / $422.01 / $529.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $428.95 / $541.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.34 / $313.75 / $393.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.57 / $364.25 / $567.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.70 / $374.10 / $469.00