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South Dakota rates for HCPCS 68040

Expression Conjunctival Follicles

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.50 / $54.98 / $83.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.83 / $137.32 / $181.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $117.27 / $436.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.09 / $129.82 / $164.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $92.51 / $120.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $113.30 / $176.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.10 / $110.30 / $144.19