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South Dakota rates for HCPCS 67880

Constj Intermargin Adhes/Tarsorrh/Canthorrhapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.31 / $505.80 / $505.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.74 / $403.33 / $760.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.60 / $1,058.59 / $1,346.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.56 / $589.29 / $1,129.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.85 / $868.60 / $2,742.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.85 / $1,010.18 / $1,539.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.00 / $966.27 / $1,247.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.09 / $710.94 / $897.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.88 / $836.62 / $1,301.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.10 / $847.70 / $1,070.70