go back

South Dakota rates for HCPCS 67921

Repair Entropion Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.47 / $523.29 / $523.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.96 / $333.47 / $623.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.02 / $903.76 / $1,373.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.67 / $541.71 / $1,160.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.16 / $874.36 / $2,331.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.29 / $925.69 / $1,539.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.29 / $849.00 / $1,282.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.94 / $619.73 / $908.25
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
$463.62 / $833.02 / $1,334.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.70 / $720.50 / $1,083.00