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Rebuilding A Whole Eyelid With A Borrowed Flap

South Dakota rates for HCPCS 67974

Reconstruction of an entire eyelid through its full thickness, using a flap of lining and supporting tissue borrowed from the opposite eyelid of the same eye. It is done after cancer removal or severe injury has left too little tissue for a simple repair. The flap keeps its own blood supply, so the eye is usually closed over for a period while it takes.

Rates data updated July 2026.

How much does Rebuilding A Whole Eyelid With A Borrowed Flap cost?

$1,549

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,230 to $1,778.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $851 to $4,365Professionalmedian $1,549 · 10th to 90th $977 to $1,820
$1.0K$2.0K$5.0Kfacility $1,995professional $1,549

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,238.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,943.28

Where South Dakota sits

The same service costs 12.6 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $1,549 · 46th of 50
IN $10,233ME $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.