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Destruction Of A Lesion On The Eyelid Margin

South Dakota rates for HCPCS 67850

This procedure removes a growth or lesion located on the edge of the eyelid by destroying it, using methods such as freezing or heat, rather than cutting it out with a blade. It is done in the office and is typically used for small, benign lesions such as warts or other skin growths near the lash line. The goal is to eliminate the growth while preserving the normal eyelid edge.

Rates data updated July 2026.

How much does Destruction Of A Lesion On The Eyelid Margin cost?

$240

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$151 to $389
FacilityA hospital or hospital-owned outpatient department$275$162 to $589

How much rates vary

Facilitymedian $275 · 10th to 90th $123 to $4,365Professionalmedian $240 · 10th to 90th $110 to $813
$100$200$500$1K$2Kfacility $275professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$190.55
Typical High
$812.83
Avera
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$512.86
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$588.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$537.03

Where South Dakota sits

The same service costs 3.5 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 28th of 51

$240

WY $631WV $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.