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South Dakota rates for HCPCS 67973

Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.13 / $976.13 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.62 / $855.26 / $1,119.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.31 / $2,104.35 / $2,630.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.62 / $1,223.02 / $2,454.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.57 / $1,666.84 / $2,920.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,996.78 / $2,395.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.66 / $2,161.16 / $2,438.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.65 / $1,527.57 / $1,775.09
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
$1,019.12 / $1,852.94 / $2,592.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.90 / $2,116.60 / $2,116.60