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South Dakota rates for HCPCS 67900

Repair Brow Ptosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.60 / $700.92 / $700.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.22 / $571.82 / $2,205.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,975.00 / $2,975.00 / $2,975.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.55 / $1,442.31 / $1,870.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.50 / $814.51 / $1,566.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.37 / $1,210.15 / $3,757.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.32 / $1,407.56 / $1,795.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,314.00 / $1,735.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.53 / $973.58 / $1,251.09
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
$700.61 / $1,164.15 / $1,810.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.30 / $1,160.90 / $1,491.80