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South Dakota rates for HCPCS 67930

Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.30 / $401.57 / $401.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.49 / $324.97 / $411.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.98 / $667.10 / $1,062.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.83 / $412.99 / $894.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.57 / $690.38 / $1,754.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.68 / $613.91 / $979.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.05 / $659.00 / $992.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.43 / $479.14 / $709.65
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
$399.70 / $646.61 / $1,038.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.20 / $540.00 / $846.20