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South Dakota rates for HCPCS 67908

Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $676.08 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,380.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,230.27