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South Dakota rates for HCPCS 67916

Repair Ectropion Excision Tarsal Wedge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.05 / $663.40 / $663.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.54 / $537.52 / $1,067.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.04 / $1,233.90 / $1,748.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.31 / $746.50 / $1,472.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.23 / $1,122.63 / $3,284.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.49 / $1,295.21 / $1,795.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.49 / $1,167.66 / $1,633.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.60 / $830.62 / $1,163.77
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
$649.95 / $1,096.67 / $1,705.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.30 / $990.40 / $1,387.70