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South Dakota rates for HCPCS 67950

Canthoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.96 / $631.66 / $631.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.01 / $508.41 / $769.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.46 / $1,322.52 / $1,680.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.17 / $735.52 / $1,409.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.01 / $1,070.83 / $1,797.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.45 / $1,262.72 / $1,795.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.00 / $1,198.22 / $1,563.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.98 / $890.13 / $1,122.36
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
$627.20 / $1,046.38 / $1,627.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.60 / $1,061.40 / $1,338.30