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South Dakota rates for HCPCS 68328

Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.11 / $746.11 / $746.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.14 / $879.34 / $1,861.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.44 / $1,539.00 / $1,829.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.37 / $1,149.83 / $1,352.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00