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South Dakota rates for HCPCS 67825

Correction Trichiasis Epilation Oth/Than Forceps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.10 / $146.13 / $146.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.68 / $117.35 / $211.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.99 / $310.86 / $388.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.85 / $170.51 / $336.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.99 / $256.20 / $910.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.25 / $291.85 / $367.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.00 / $301.83 / $367.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.96 / $211.19 / $259.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.91 / $245.49 / $373.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.80 / $282.30 / $309.30