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South Dakota rates for HCPCS 68320

Conjunctivoplasty W/Grf/Xtnsv Rearrangement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.79 / $806.87 / $806.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.33 / $641.90 / $937.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$764.31 / $764.31 / $764.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.83 / $1,551.38 / $2,139.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.04 / $888.31 / $1,796.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.52 / $1,374.52 / $4,805.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.32 / $1,539.00 / $1,957.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.88 / $1,425.58 / $1,986.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.33 / $1,040.22 / $1,421.24
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
$795.77 / $1,335.04 / $2,076.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.70 / $1,240.40 / $1,694.70