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South Dakota rates for HCPCS 67906

Rpr Blepharoptosis Superior Rectus Fascial Sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $534.91 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.78 / $534.91 / $879.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.26 / $1,154.63 / $1,443.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.78 / $741.54 / $1,338.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.44 / $909.95 / $1,596.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.05 / $1,171.94 / $2,380.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.20 / $1,179.78 / $1,333.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.41 / $825.40 / $971.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.33 / $912.53 / $1,415.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.30 / $1,157.80 / $1,157.80