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South Dakota rates for HCPCS 67971

Rcnstj Eyelid Full Thickness <Two-Thirds 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.25 / $760.25 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.24 / $951.46 / $1,906.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.26 / $1,553.11 / $1,863.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.76 / $1,181.28 / $1,380.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $4,665.92