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South Dakota rates for HCPCS 67882

Constj Intermargin Adhes/Tarsor/Canthor W/Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.41 / $616.76 / $616.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.49 / $497.43 / $819.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.22 / $1,316.68 / $1,645.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.66 / $719.02 / $1,377.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.79 / $1,093.61 / $3,506.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.56 / $1,236.53 / $1,749.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.50 / $1,235.83 / $1,524.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.07 / $908.89 / $1,099.08
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
$618.22 / $1,013.73 / $1,596.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.09 / $1,083.80 / $1,310.59