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South Dakota rates for HCPCS 67974

Rcnstj Eyelid Full Thickness Upper Eyelid 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.56 / $974.56 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.45 / $1,221.05 / $2,449.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.62 / $2,138.23 / $2,777.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.38 / $1,525.35 / $1,769.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00